在日本患者的贝尔维尔特眼植入术的长期结果
Kentaro Iwasaki1, Ryohei Komori1, Shogo Arimura1
1Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, 23-3 Shimoaizuki, Matsuoka, Eiheiji, Yoshida, Fukui, 910-1193, Japan.
Scientific reports
|August 31, 2023
概括
贝尔维尔特玻璃眼植入手术有效降低耐火玻璃眼患者的眼内压力和长期药物使用. 然而,在许多情况下,并发症需要进行干预.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 视光眼管理 视光眼管理
背景情况:
- 耐火性玻璃眼症对眼内压力 (IOP) 控制提出了重大挑战.
- 贝尔维尔特玻璃眼植入体 (BGI) 手术是管理复杂玻璃眼病例的一个选择.
研究的目的:
- 为了评估贝尔维尔特玻璃眼植入体 (BGI) 手术的长期外科结果.
- 评估BGI在耐火性玻璃眼患者的疗效和安全性.
主要方法:
- 一项对 204 个眼睛/204 个接受 BGI 手术的患者的回顾性研究.
- 手术成功的定义是IOP降低,不重复手术和视力保存.
- 长期随访以评估内脏压力,药物使用和并发症.
主要成果:
- 长期显著下降的平均IOP从32.7mmHg到13.1mmHg在5年.
- 在手术后,绿眼病药物的平均使用量从3.7降至1.8.
- 根据IOP标准,5年后的成功率各不相同 (72.4%至24.4%);40.2%的患者出现了早期并发症,13.7%的患者出现了晚期并发症.
结论:
- 贝尔维尔特玻璃眼植入手术在耐火性玻璃眼中提供了显著的长期IOP降低和降低药物依赖.
- 虽然BGI手术是有效的,但由于需要干预的术后并发症的显著发生率,因此需要谨慎监测.
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