对影响长期结果的风险因素的回顾性研究 随着AB内部带切除术和带切除术与发泡乳化同时进行
Naoki Okada1,2, Kazuyuki Hirooka1,2, Hiromitsu Onoe1,2
1Department of Ophthalmology and Visual Science, Hiroshima University, Hiroshima, Japan.
Clinical ophthalmology (Auckland, N.Z.)
|November 29, 2023
概括
较高的手术前眼内压力 (IOP) 可能会导致更好的结果后,结合法化与微腹内切除术 (μLOT-Phaco) 或Kahook双刀切除术 (KDB-Phaco) 黄眼病.
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:
- 主要开角青光眼 (POAG) 和剥皮青光眼 (EG) 是常见的青光眼形式.
- 加上微侵袭性玻璃眼外科手术 (MIGS) 的法科化提供了一个治疗选择.
- 了解长期结果和风险因素对于患者管理至关重要.
研究的目的:
- 为了确定影响长期结果的风险因素,结合法化与腹腔内切除术 (μLOT-Phaco) 和用卡胡克双刀片 (KDB-Phaco) 进行阴道切除术.
- 评估这些联合手术技术在治疗POAG和EG方面的疗效.
主要方法:
- 追溯研究100个眼睛的POAG或EG接受μLOT-Phaco或KDB-Phaco.
- 卡普兰-梅尔成功概率的方法; 风险因素的考克斯比例危险模型.
- 手术失败定义为IOP>18 mmHg,IOP降低<20%,或额外的玻璃眼手术.
主要成果:
- 手术后的内血压从平均20.5mmHg显著降低到12个月后的14.4mmHg.
- 12,24和36个月后手术成功的概率分别为52.0%,49.6%和47.7%.
- 较低的手术前内压被确定为手术失败的潜在风险因素.
结论:
- μLOT-Phaco和KDB-Phaco两种药物结合化,都显示出长期降低了IOP.
- 在这些联合手术中,较高的手术前眼内压可能与更好的长期外科结果有关.
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