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在穿透式角质塑性和角质假体术后的眼光
D Khair1, J El-Khoury2, P Thompson3
1Department of Ophthalmology, centre hospitalier de l'université de Montréal, Montréal, Québec, H2X 3E4, Canada; Department of Ophthalmology and Visual Sciences, University of Kentucky College of Medicine, Lexington, USA.
Journal francais d'ophtalmologie
|November 16, 2023
概括
对于需要进行第二次角膜移植的患者,透视角膜整形 (PKP) 和波士顿1型角膜假体 (KPro) 显示了类似的青光眼的进展. KPro可能会减少重复手术.
科学领域:
- 眼科医生 眼科 眼科
- 角膜外科手术 角膜外科手术
- 视光眼管理 视光眼管理
背景情况:
- 角膜移植是恢复视力的一种常见手术.
- 玻璃眼是角膜移植后的一个严重并发症.
- 波士顿角膜整形1型 (KPro) 为角膜置换提供了透角膜整形 (PKP) 的替代方案.
研究的目的:
- 在经过第二次角膜置换的已知绿眼患者中,比较视觉和绿眼结局.
- 为了评估穿透角膜整形术 (PKP) 与玻璃眼病患者的波士顿角膜整形术1型 (KPro) 的疗效.
主要方法:
- 在初始PKP失败后, 141只眼睛接受PKP或KPro的回顾性干预病例系列.
- 包括46个眼睛与手术前的玻璃眼,分析人口统计,视力敏度,玻璃眼的状态,和外科手术的结果.
- 主要结局:青光眼的进展趋势. 二次结果:视觉结果和需要额外的程序.
主要成果:
- 平均随访时间:4.7年 (PKP) 和7.3年 (KPro).
- 青光眼在两组中恶化程度相似,通过药物治疗,杯与盘的比率以及视野变化来评估.
- PKP集团需要的重工要比KPro集团 (8.3%) 更多 (31.8%).
结论:
- 手术前的玻璃眼并不是对KPro植入的禁忌.
- 无论是PKP还是KPro都可以用于类似疾病进展的眼睛.
- KPro可能会减少随后的角膜手术的需要,但对这两种手术来说,密切监测眼是必不可少的.
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