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Devendra Maheshwari¹, Davinder S Grover², Rengappa Ramakrishnan¹

¹Department of Glaucoma, Aravind Eye Hospital & PG Institute of Ophthalmology, Tirunelveli, India.

Ophthalmology. Glaucoma

|October 15, 2023

概括

结合白内障手术的内侧微轨道切除术有效降低眼内压力,并减少开角青光眼患者的药物治疗需求. 这种联合手术在一年内显示出显著的疗效和安全性.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
微手术技术微手术技术微手术技术

背景情况:

开角玻璃眼 (OAG) 的管理通常需要药物治疗和手术干预.
白内障手术经常在OAG患者中进行.
结合程序可以提供协同效益.

研究的目的:

为了评估 Ab Interno 微子管切除术 (microLOT) 与白内障手术相结合的早期术后疗效和安全性.
在OAG患者中,比较联合法科-微LOT与单独法科乳化治疗的结果.

主要方法:

在114名患有OAG和白内障的患者中进行了前性,随机化,干预性研究.
患者随机分配到单独的法科-微LOT或法科乳化.
评估包括眼内压力 (IOP),抗葡萄糖瘤药物 (AGMs) 和多个术后时间点的视力敏度,长达12个月.

主要成果:

在12个月后,法科-微LOT显著降低了平均内血压,从26.5 mmHg降至12.5 mmHg (P < 0.001).
组合组需要较少的AGM (0.2vs1.1术后,P<0.001).
在法科-微LOT组中的90.3%的眼睛取得了完全的成功;低血是最常见的并发症.

结论:

Ab 内部微穿孔切除术与发酵乳化相结合是OAG的有效程序.
综合方法显示出有利的安全性,并发症最小.
这种联合手术为接受白内障手术的OAG患者提供了一个有前途的治疗选择.

关键词:

Ab 内部坦尼托微轨道切除术 (microLOT)最少侵入性的玻璃眼外科手术 (MIGS)发泡乳化法可化主要开角青光眼 (POAG)

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