相关实验视频

Updated: Jul 1, 2025

Glaucoma-inducing Procedure in an In Vivo Rat Model and Whole-mount Retina Preparation

Glaucoma-inducing Procedure in an In Vivo Rat Model and Whole-mount Retina Preparation

Published on: March 12, 2016

在不同级别的青光眼严重程度下,经阴视镜辅助的透光叶切除术的结果:一个多中心的比较研究

Leopoldo Magacho¹, Cláudia Gomide Vilela de S Franco², Eduardo Akio I²

¹From the Department of Ophthalmology, Federal University of Goiás (CEROF-UFG) (L.M., C.G.V.d.S.F., E.A.I.), Goiânia, Goiás, Brazil; VER Hospital (L.M.), Goiânia, Goiás, Brazil.

American journal of ophthalmology

|March 3, 2024

概括

视镜辅助的透光膜切除术 (GATT) 有效降低了青光眼患者的眼内压力和药物需求. 这项研究证实了GATT.

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) 是不可逆转失明的主要原因.
有效的手术干预对于管理POAG和预防视力丧失至关重要.
阴视镜辅助的透光轨道切除术 (GATT) 是一种内侧微切割性玻璃眼外科手术.

研究的目的:

评估GATT在不同程度的POAG严重程度的患者中的疗效和安全性.
根据手术前的玻璃眼病分类 (轻度,中度,晚期) 来比较GATT的结果.

主要方法:

追溯,多中心研究,包括270只眼睛与POAG.
患者接受了独立的GATT或与白内障手术 (Phaco-GATT) 结合的GATT手术.
眼睛被分为轻度 (GI),中度 (GII) 和高级 (GIII) 青光眼的严重程度组.

主要成果:

在所有严重程度组 (P < .001) 观察到显著的内血压降低和药物使用减少.
在12个月后,相对成功率很高 (GI: 93.8%,GII: 89.0%,GIII: 88.1%).
与轻度 (61.8%) 相比,中度和晚期玻璃眼 (GII: 43.8%,GIII: 37.6%) 的完全成功率较低. 没有报告任何严重的不良事件.

结论:

对于POAG管理来说,GATT是一种安全有效的外科选择.
该程序在所有格洛科马严重程度上都显示出一致的IOP降低和药物降低.
虽然有效,但在更晚期的绿眼病中,完全成功率可能更低.

更多相关视频

Ultrasound Cyclo Plasty in Eyes with Glaucoma

Ultrasound Cyclo Plasty in Eyes with Glaucoma

Published on: January 26, 2018

Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents

Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents

Published on: February 15, 2022

相关概念视频

Open Angle Glaucoma: Treatment

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...

Angle Closure Glaucoma: Treatment

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...

Glaucoma: Overview

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...