对耐火性玻璃眼的可调节玻璃眼排水装置 (眼镜系统) 的有效性和安全性:为期2年的前性研究
Sylvain Roy1,2, André Mermoud2
1Laboratory of Hemodynamics and Cardiovascular Technology, Swiss Federal Institute of Technology.
Journal of glaucoma
|November 17, 2023
概括
结合可调节的玻璃眼排水装置和轨道过板的eyeWatch (eW) 系统,在两年内有效控制了眼内压力 (IOP) 并减少了耐火玻璃眼患者的药物需求.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 医疗器械 医疗器械
背景情况:
- 在常规治疗失败后,耐火性玻璃眼常常需要手术干预.
- 青光眼排水装置的目的是通过促进水性幽默的外流来降低眼内压力 (IOP).
- 我们不断探索新型设备设计,以提高绿眼管理的有效性和安全性.
研究的目的:
- 评估 eyeWatch (eW) 系统在耐火性玻璃眼患者的两年临床结果.
- 评估将可调节的玻璃眼排水装置与新型轨道过板相结合的疗效和安全性.
- 确定eW系统对眼内压力和药物需求的影响.
主要方法:
- 进行了一个单心,前性,非比较性临床试验.
- 这项研究包括42名耐火性玻璃眼患者的42只眼睛,这些患者接受了eW系统的手术.
- 测量结果包括眼内压力 (IOP),视力敏度,药物使用和24个月随访期间的并发症率.
主要成果:
- 平均内血压从手术前的23.2mmHg显著下降到24个月后的11.5mmHg (P <0.001).
- 在24个月内,绿眼瘤药物的平均数量从2.9减少到1.0 (P <0.001).
- 在24个月后,合格的成功率为90%,并发症率低 (7名患者).
结论:
- 在复杂的玻璃眼病病例中,eyeWatch (eW) 系统显示有效的IOP控制和减少多达两年的玻璃眼病药物.
- 结合可调节的玻璃眼排水装置和轨道过板,提供了有利的安全形状,没有观察到持续的低血压.
- 这种新的系统为耐火性玻璃眼患者提供了一个可行的手术选择,这些患者以前的治疗失败了.
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