泰国青少年开放角眼镜的治疗结果
Kasem Seresirikachorn1,2, Warakorn Thiamthat1,2, Kornkamol Annopawong1
1Department of Ophthalmology, College of Medicine, Rangsit University, Rajavithi Hospital.
Journal of glaucoma
|September 19, 2023
概括
泰国青少年开角眼镜瘤 (JOAG) 手术结果显示,使用mitomycin C进行尾切除术是有效的,但一半的患者需要在10年内进行进一步的手术. 近视和药物使用预测手术失败.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 外科手术的结果
背景情况:
- 青春期开角青光眼 (JOAG) 是年轻人视力损失的重要原因之一.
- 了解不同人群的治疗模式和长期结果对于有效管理至关重要.
研究的目的:
- 评估泰国JOAG患者的临床特征和外科治疗结果.
- 在这个队列中确定手术成功和失败的预测因素.
主要方法:
- 在泰国曼谷进行了12年的回顾性多中心研究.
- 分析了被诊断患有JOAG的104名患者 (200只眼睛) 的数据.
- 评估了手术预测因子和使用米托米辛-C进行轨切除术的长期成功率.
主要成果:
- 负面的家族病史和更厚的中央角膜是接受手术的预测因素.
- 用线粒素-C进行的带切除术显示,累计的完全成功率从1年后的71.0%下降到10年后的26.9%.
- 近视和更高的基线药物使用与手术失败有显著的关联.
结论:
- 用线粒素-C进行带切除术是泰国JOAG的常见和有效的初级手术,可以在没有重大并发症的情况下实现初始的IOP降低.
- 尽管初步成功,但约一半的JOAG患者需要在十年内进行额外的手术.
- 识别患有手术失败风险的患者,例如近视患者或多种药物患者,对于优化长期青光眼管理至关重要.
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