[护眼管切除术 (外部切除术) 作为开角青光眼的初级干预方法:五年结果]
Marco Bornhauser1, Lukas Neuhann2, Thomas Neuhann2
1Augenärzte am Stachus, Sonnenstraße 1, 80331, München, Deutschland. mbornhauser@gmail.com.
Die Ophthalmologie
|November 15, 2023
概括
眼内镜片植入 (PIT) 的外外腔切除 (TOT) 和光乳化是慢性开角青光眼的有效初级手术. 这两种手术都能长期显著降低眼内压力,并发症率低.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 眼内压力管理 眼内压力管理
背景情况:
- 外侧管切除术 (TOT) 是成人开角玻璃眼的外流通道手术.
- 与其他青光眼降压手术相比,TOT的发表结果较少.
研究的目的:
- 评估TOT作为独立程序的长期疗效和安全性.
- 评估TOT与眼内透镜植入 (PIT) 的法化结合,作为主要的降压手术.
- 在患有慢性开角青光眼的成年患者中比较TOT和PIT.
主要方法:
- 对106名患者的121只眼睛进行了回顾性分析.
- 90只眼睛接受了TOT,31只眼睛接受了PIT.
- 5年的随访期评估眼内压力,视力敏度,药物使用和并发症.
主要成果:
- 在TOT和PIT组之间压力降低没有显著差异.
- 与降压药物观察到的高累积成功率.
- 没有药物治疗的成功率显著降低;没有报告严重并发症,水是最常见的.
结论:
- TOT和PIT是成年人慢性开角青光眼的可行初级手术选择.
- 这两种手术都显示出显著的眼内压力降低效果.
- 低的并发症率与TOT和PIT有关.
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