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在手术期间使用iStent与术后选择性激光膜整形在接受白内障手术的早期绿内障患者中:一项回顾性比较研究

K Martini¹, S Baillif¹, S Nahon-Esteve¹

¹Ophthalmology Department, University Hospital of Nice, 30, voie Romaine, 06000 Nice, France.

Journal francais d'ophtalmologie

|October 2, 2023

概括

术内iStent和术后选择性激光斜视造形术 (SLT) 均有效降低眼内压力 (IOP),并在接受白内障手术的早期绿内障患者中降低绿内障药物,显示出类似的安全性和有效性.

科学领域:

眼科医生眼科眼科
视光眼管理视光眼管理
手术干预手术干预

背景情况:

早期的玻璃眼瘤管理通常涉及降低眼内压力 (IOP) 的干预措施.
白内障手术为结合治疗青光眼的手术提供了一个机会.
将微侵袭性玻璃眼手术 (MIGS) 与激光疗法进行比较对于治疗选择至关重要.

研究的目的:

为了比较手术内iStent注射®的疗效和安全性与360度选择性激光形造形 (SLT) 在接受白内障手术的早期绿内障患者.
为了评估眼内压力 (IOP) 降低和 postoperatively IOP-降低药物的需要.
评估程序后6个月和12个月的结果.

主要方法:

这是一项涉及73只眼睛的回顾性非随机研究.
第1组:白内障手术使用手术内置的iStent (n=40).
第二组:白内障手术与术后SLT在一个月 (n=33).
主要终点:≥20%的IOP从基线下降到6个月.
二次终点: IOP 在1,6和12个月;药物使用在6和12个月.

主要成果:

基线IOP和人口统计数据在各组之间相似,尽管iStent组的基线药物使用率较高 (P=0.04).
在6个月后,51%的iStent患者和60%的SLT患者实现了≥20%的IOP降低 (P=0.431),表明类似的疗效.
在6个月和12个月的组之间没有观察到平均内血压降低药物的显著差异.

结论:

在手术期间的iStent和手术后的360°SLT在治疗白内障手术的早期绿内障患者的IOP和药物负担方面表现出相似的安全性和有效性.
在iStent和SLT之间进行选择时,应考虑外科医生的专业知识和成本效益.
无论是MIGS还是激光疗法都是联合白内障和绿内障手术的可行选择.

关键词:

白内障手术是什么?白内障手术是什么?眼内压力眼内压力发泡化 (法可化) 是一种眼内压力眼内压力选择性激光椎造形术是一种选择性的激光椎造形术.在激光选择性或激光形术中选择性形.使用iStent注入.

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