在经过阴影镜辅助的透光轨道切除术 (GATT) 后,眼内压力升
Liron Naftali Ben Haim1,2, Veronika Yehezkeli3,4, Eden Abergel Hollander3,4
1Department of Ophthalmology, Meir Medical Center, 59 Tshernehovsky St, 4428164, Kfar Saba, Israel. lironbh4690@gmail.com.
概括
在经过镜辅助的透光轨道切除术 (GATT) 后,眼内压力尖峰很常见. 持续服用手术前的内血压降低药物显著降低了这些尖峰的风险,并建议.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 手术并发症 手术并发症
背景情况:
- 眼内压力 (IOP) 尖峰是经过视镜辅助的透光轨道切除术 (GATT) 后的常见并发症.
- 识别风险因素和了解这些尖峰的临床过程对于患者管理至关重要.
研究的目的:
- 为了确定手术后IOP高峰的风险因素,在GATT之后.
- 在一个大患者队列中,描述IOP尖峰的临床表现,管理和结果.
主要方法:
- 回顾性,单中心研究.
- 包括在2019年12月至2022年4月期间接受GATT的217个眼睛.
- 最小的随访时间为90天.
主要成果:
- 在24%的眼睛中发生了IOP尖峰 (52/217).
- 当继续服用手术前的内血压降低药物 (15.5%) 和停止服用 (29.9%) 时,尖峰较少发生.
- 继续服用药物的患者患尖的可能性降低了2.3倍 (P=0.016);尖是GATT失败的风险因素.
结论:
- 盖特协定后的IOP峰值很常见,通常发生在第一个月内.
- 大多数尖峰通过医疗管理解决,包括局部和全身IOP降压治疗.
- 建议继续服用手术前的内血压降低药物,以减轻在GATT之后内血压高峰的风险.
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