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缓慢凝血与微脉冲跨细胞循环光凝血治疗耐火性儿童绿眼瘤

Regina Cele Silveira Seixas¹, Heloisa Helena Abil Russ², Heloisa Andrade Maestrini³

¹HCLOE Clinica de Oftalmologia Especializada, Sao Paulo, Brazil.

European journal of ophthalmology

|March 1, 2024

概括

微脉冲激光 (MP-TSCP) 和穿细胞循环光凝 (TSCP) 有效地降低了难治儿童玻璃眼炎的眼内压力. 这两种治疗都显示出安全性和改善视觉预后,扩大了这种疾病的治疗选择.

科学领域:

眼科医生眼科眼科
玻璃眼研究研究玻璃眼研究
手术干预手术干预

背景情况:

童年玻璃眼 (CG) 在眼内压力 (IOP) 管理中提出了独特的挑战.
耐火病例通常需要先进的外科干预来保护视力.
跨细胞循环光凝固 (TSCP) 是一个既定的选择,但正在探索新的模式.

研究的目的:

为了比较微脉冲激光跨细胞循环光凝 (MP-TSCP) 与标准二极管激光TSCP的安全性和有效性.
为了评估IOP降低和视力敏度的结果,在儿科患者与耐火玻璃眼.
评估对药物需求和并发症率的影响.

主要方法:

对具有耐火CG的17只眼睛和至少12个月的随访数据进行了回顾性分析.
纳入标准侧重于具有已确定的病历数据的患者.
主要结果措施包括达到6-21mmHg的内血压和/或从基线内血压下降≥20%.

主要成果:

无论MP-TSCP还是TSCP都显著降低了从基线平均IOP (MP-TSCP:从28 mmHg降至17.26 mmHg;TSCP:从29.9 mmHg降至14.68 mmHg).
在这两组中,药物需求都下降了,在MP-TSCP组中观察到的更实质性的减少.
视力敏度在两组都出现了改善或稳定,MP-TSCP组的显著正变化.
角膜失补偿是最常见的并发症,发生在一只眼睛 (MP-TSCP) 和两只眼睛 (TSCP).

结论:

MP-TSCP和TSCP是有效和相对安全的治疗选择,用于降低IOP在不耐药的童年绿内障.
这些激光环光凝结技术扩大了CG的治疗武器库.
这些发现表明,接受这些手术的患者的功能预后有所改善.

关键词:

童年玻璃眼疾病儿童玻璃眼.儿童绿眼的程序儿童绿眼的程序眼体去除程序. 眼体去除程序.青光眼的医学疗法医学疗法激光手术是激光手术,激光手术是激光手术.

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