对比iStent注射®与iStent注射®W-无论是结合白内障手术-在开放角度的玻璃眼
Steffen Deneri1, Ralph-Laurent Merté1, Nicole Eter1
1Department of Ophthalmology, University Münster, 48149 Münster, Germany.
Journal of clinical medicine
|December 9, 2023
概括
与在白内障手术后注射的iStent相比,注射W的iStent显示出更大的眼内压力降低. 然而,最初的iStent注射导致了更大的减少青光眼药物使用.
科学领域:
- 眼科医生 眼科 眼科
- 医疗器械 医疗器械
- 青光眼治疗方法 青光眼治疗方法
背景情况:
- 白内障手术通常涉及控制眼内压力 (IOP).
- 像iStent注射器家族这样的微侵入性玻璃眼外科手术 (MIGS) 设备用于降低内血压.
- 该iStent注入W是一个继任iStent注入的设备,设计修改.
研究的目的:
- 为了比较iStent注射和iStent注射W的短期和中期术后结果.
- 用这些设备在白内障手术后六个月评估眼内压力 (IOP) 降低作为主要终点.
主要方法:
- 一个回顾性,单心研究比较了在白内障手术期间注射的iStent和注射W的iStent.
- 结果在手术后六个月被评估.
- 数据包括IOP测量和青光眼药物使用情况.
主要成果:
- 在六个月 (p=0.037) 后,注射iStent的W组与注射iStent的组相比,实现了显著更大的IOP降低 (-2.2 mmHg) (-0.06 mmHg).
- 接受iStent注射的群体显示,与接受iStent注射W组 (-0.62剂) 相比,青光眼药物 (-1.28剂) 的减少在统计上更大 (p=0.007).
结论:
- 由于iStent注入W的设计,由于优越的定位,可能会导致更大的IOP降低.
- 虽然iStent注射W显示出更好的内脏压力控制,但最初的iStent注射导致了更显著的药物需求减少.
- 研究的局限性包括短期的随访,小样本大小和患者群体的差异,需要仔细解释.
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