与iStent注射W相关的法化短期有效性和安全性在受控开角玻璃眼患者中
Yanis Louanchi1,2,3,4, Emmanuelle Brasnu1,5, Pascale Hamard1,5
1Department of Ophthalmology III, Quinze-Vingts National Ophtalmology Hospital, IHU FOReSIGHT.
Journal of glaucoma
|November 17, 2023
概括
注射的iStent W有效降低眼内压力 (IOP),并减少了在白内障手术后患有开角绿内障的患者需要服用绿内障药物的需要. 这种程序显示了有利的安全性,在六个月后显著减少了IOP.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 手术创新 在外科创新.
背景情况:
- 开角玻璃眼 (OAG) 是不可逆转失明的主要原因.
- 在OAG治疗中,有效的眼内压 (IOP) 管理至关重要.
- 用眼内透镜植入的法化是一种标准的白内障手术.
研究的目的:
- 为了评估iStent注射W植入与发酵乳液的有效性和安全性.
- 评估接受白内障手术的OAG患者的内压减小和药物降低.
- 确定这种联合手术方法的长期结果.
主要方法:
- 对85只眼睛进行了回顾性,双中心的研究,这些眼睛具有受控的慢性OAG.
- 化与植入两个iStent注射W设备相结合.
- 在手术前和手术后1周,1个月和6个月使用IOP和玻璃眼药物的评估.
主要成果:
- 从手术前的平均IOP降低16.1mmHg到6个月后的13.0mmHg (降低19.3%,P<0.0001).
- 在6个月后,减少了22.4%的青光眼药物 (P = 0.003).
- 最常见的不良事件包括短暂的角膜胀,内血压尖峰和热,所有这些都是自发解脱的.
结论:
- 在发酵过程中注射W植入的iStent在OAG患者中有效降低IOP.
- 该程序导致所需的玻璃眼药物的数量显著减少.
- 综合方法为在白内障手术期间管理OAG提供了有利的安全概况.
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