在深层结膜切除术中穿孔窗口穿孔对初级先天性玻璃眼瘤眼内压力的作用
Abdulaziz AlQattan1, Konrad Schargel2, Ibrahim AlJadaan2
1Pediatric Ophthalmology and Strabismus Division, King Khaled Eye Specialist Hospital, Al Urubah Branche Rd., West Building 2nd Floor, 11462, Riyadh, Saudi Arabia.
Ophthalmology and therapy
|January 5, 2024
概括
在为先天性玻璃眼瘤进行非穿透性深层硬膜切除术时,无意中发生的trabeculodescemetic窗口穿孔不会影响眼内压力结果. 这种青光眼手术无论穿孔如何,仍然有效,并发症率低.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 儿科眼科护理 儿科眼科护理
背景情况:
- 初级先天性玻璃眼瘤可以导致不可逆转的视力丧失,如果眼内压力 (IOP) 没有管理.
- 非穿透性深层硬膜切除术 (NPDS) 是对原发性先天性玻璃眼的一种成熟的手术治疗方法.
- 在NPDS过程中意外发生的形形窗口穿孔的临床意义尚不清楚.
研究的目的:
- 评估在NPDS期间无意中发生的形形窗口穿孔对初级先天性玻璃眼患者的IOP控制的影响.
- 为了比较手术成功率和并发症发生率之间的NPDS与无手术内穿孔.
主要方法:
- 在2014年至2021年期间接受NPDS的原发性先天性玻璃眼患者的回顾性队列研究.
- 患者被分为两组:患有手术内形形窗口穿孔的人和没有的患者.
- 主要结局是手术后15个月内心压力;次要结局包括手术成功和并发症.
主要成果:
- 这项研究分析了74只眼睛 (44名患者),其中31只眼睛有穿孔,43只眼睛没有.
- 两组都实现了显著的内脏压力降低,治疗成功率 (完整,合格或失败) 没有统计学上显著的差异.
- 眼睛内压力中位数从39mmHg降至14mmHg (穿孔组) 和35mmHg降至12mmHg (非穿孔组); 92%的眼睛没有并发症.
结论:
- 在NPDS治疗初级先天性玻璃眼的过程中,无意中发生的trabeculodescemetic窗口穿孔不会对15个月的IOP结果产生不利影响.
- 在初级先天性玻璃眼患者中,NPDS有效地降低了IOP,无论手术内穿孔如何.
- 在NPDS期间的Trabeculodescemetic窗口穿孔与术后并发症的发病率较低有关.
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