艾哈迈德·克莱尔帕斯与贝尔维尔德的玻璃眼植入物:一个回顾性的非劣势性比较研究
Wesam Shamseldin Shalaby1, Rohit Reddy2, Brandon Wummer2
1Wills Eye Hospital, Glaucoma Research Center, Philadelphia, Pennsylvania; Tanta Medical School, Tanta University, Tanta, Gharbia, Egypt.
Ophthalmology. Glaucoma
|December 29, 2023
概括
艾哈迈德·克莱尔帕斯 (ACP) 和贝尔维尔特玻璃眼植入物 (BGI) 在玻璃眼患者中显示出类似的手术失败和并发症率. ACP植入物导致药物需求减少,而这两种设备都有效降低了眼内压力.
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:
- 非膜玻璃眼排水装置 (GDD) 用于管理耐火玻璃眼.
- 对比新的GDD的疗效和安全性对于临床决策至关重要.
研究的目的:
- 为了比较艾哈迈德ClearPath (ACP) 和贝尔维尔特玻璃眼植入物 (BGI) 在玻璃眼患者的疗效和安全性.
- 为了评估ACP与BGI的手术失败率,眼内压 (IOP) 控制,视力敏度和并发症概况.
主要方法:
- 进行了一项单一中心,回顾性,比较性研究.
- 分析了113名接受了ACP或BGI手术的患者的128只眼睛.
- 手术失败被定义为目标范围之外的IOP,视力丧失,重新手术或扩展;随访时间至少为6个月.
主要成果:
- 两组之间没有观察到手术失败率 (9.5%的ACP与9.2%的BGI) 或并发症率的显著差异.
- 与基线相比,ACP和BGI都显著降低了IOP和青光眼药物的数量.
- 艾哈迈德·克莱尔帕斯 (Ahmed ClearPath) 组在术后需要的药物显著减少.
- 在两种植入器的350毫米2模型中,二叶更为频繁.
结论:
- 艾哈迈德ClearPath和Baerveldt玻璃眼植入物在玻璃眼病管理中表现出可比的疗效和安全性.
- 艾哈迈德ClearPath植入物可能在减少药物负担方面具有优势.
- 较大的板尺寸 (350毫米2) 植入物与双眼视的风险增加有关.
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