在白内障手术后,使用活性流体和活性哨兵的高和低输液压设置,玻璃镜接口发生了变化
Hugo A Scarfone1, Emilia C Rodriguez, Maira G Rufiner
1From the Clinica de Ojos Tandil, Tandil, Buenos Aires, Argentina (Scarfone, Rodriguez, Rufiner, Riera, Fanego); Charles Centro Oftalmológico, Buenos Aires, Argentina (Charles, Albano).
Journal of cataract and refractive surgery
|November 8, 2023
概括
在法化过程中,高输液压可以破坏前部状膜屏障,导致后部玻璃体变化. 这项研究发现,白内障手术期间眼内压力增加与伯格空间形成的更高发生率有关.
科学领域:
- 眼科医生 眼科 眼科
- 手术技术 手术技术
- 前段外科手术 前段外科手术
背景情况:
- 发光乳化是一种常见的白内障手术技术.
- 前部状膜屏障 (AHMB) 的完整性对于保持眼睛结构至关重要.
- 了解手术参数对AHMB的影响对于患者的治疗结果至关重要.
研究的目的:
- 为了研究在化过程中输液压力对AHMB的影响.
- 评估Berger空间的形成作为AHMB妥协的指标.
- 为了评估患者报告的结果与手术期间的眼内压力有关.
主要方法:
- 一个前性的,随机的,双面罩的,多中心的研究.
- 使用Centurion视觉系统进行眼内透镜植入的法化.
- 患者被分配到低 (30毫米升) 或高 (80毫米升) 的眼内压力配置.
- 使用光谱域光学连贯性断层扫描 (SD-OCT) 的术后评估.
主要成果:
- 在42.5%的眼睛中,高输液压观察到伯格空间,而低输液压的眼睛则为7.5% (P = .0003).
- 两组之间在后部玻璃体脱落方面没有发现显著差异.
- 患者报告说,在输液压较低时,主观感知更好 (P = .0001).
结论:
- 在发酵过程中高输液压可以改变玻璃体-透镜接口.
- 手术后的伯格空间是AHMB变化的生物标志物,与输液压力直接相关.
- 降低输液压力可能会导致患者报告结果的改善.
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