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在失败的玻璃眼外科手术后,阴茎切除术的安全性和有效性
Fengbin Lin1, Xin Nie2, Jiguang Shi3
1State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou.
Journal of glaucoma
|September 19, 2023
概括
阴茎切割手术是以前失败的玻璃眼手术患者的安全和有效的选择. 这一程序在12个月内显著降低了眼内压力和药物使用.
科学领域:
- 眼科医生 眼科 眼科
- 手术干预 手术干预
- 视光眼管理 视光眼管理
背景情况:
- 结膜切除术 (GT) 为有失败干预病史的青光眼患者提供了替代性手术方法.
- 在这个具有挑战性的患者群体中评估GT的疗效和安全性对于优化治疗策略至关重要.
研究的目的:
- 为了评估Goniotomy (GT) 的有效性和安全性,在之前接受过绿眼瘤手术的患者中.
- 为了确定GT对眼内压力 (IOP),视力敏度和药物需求的影响.
主要方法:
- 一项前性,观察性,多中心研究,涉及38只眼睛的34名患者,他们之前接受过绿眼镜手术.
- 关键的结果措施包括内视压力,最佳校正的视敏度,药物使用和12个月的不良事件.
- 成功是由特定的IOP目标定义的,有或没有药物,使用后勤回归来分析.
主要成果:
- 12个月后,42.1%的眼睛获得了完全成功,78.9%的眼睛获得了合格的成功.
- 平均内血压从29.4±6.9 mmHg下降到16.7±3.6 mmHg (43.2%的减少),药物使用显著减少 (P <0.001).
- 常见的并发症包括缺血症 (13.2%),内压尖峰 (7.9%) 和角膜胀 (5.2%);年龄较大与更好的外科手术结果有关.
结论:
- 结膜切除术 (GT) 在有失败眼手术病史的患者中显示出良好的安全性和疗效.
- 在复杂的玻璃眼病病例中,GT提供了降低眼内压力和降低药物负担的可行选择.
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