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Ultrasound Cyclo Plasty in Eyes with Glaucoma
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在Uveitic Glaucoma患者的阴视镜辅助透光轨道切除术 (GATT) 后,Uveitic Glaucoma发作
Raz Gepstein1,2, Tamar Laytman Klein1,2, Liron Naftali Ben Haim1,2
1Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel.
Ocular immunology and inflammation
|March 12, 2024
概括
阴视镜辅助的透光轨道切除术 (GATT) 是一种低风险的手术,用于患有紫外线性玻璃眼 (UG) 的患者. 经过精心的手术前后护理,可以最大限度地降低手术引起的脑膜炎发作风险,确保有效的眼内压力控制.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 管道炎管理 管道炎管理
背景情况:
- 在眼内压力 (IOP) 管理方面,Uveitic Glaucoma (UG) 提出了独特的挑战.
- 对UG的外科干预必须仔细考虑加剧眼内炎症的风险.
研究的目的:
- 为了评估在被诊断为患有脑膜绿斑 (UG) 的患者中经过镜辅助透光轨道切除术 (GATT) 后术后脑膜炎发作的发生率.
主要方法:
- 在2020年6月至2022年9月间连续接受GATT治疗的UG患者的回顾性分析.
- 与手术相关的脑膜炎并发症被定义为手术后3个月内出现的发作 (SUN标准) 或囊性黄斑胀 (CME).
主要成果:
- 在25只眼睛中,有8%的患者经历了早期的手术后脑膜炎发作 (轻度前腔反应或CME).
- 一年后,平均内血压从26.7 mmHg下降到12.2 mmHg,药物负担减少.
- 大多数患者,包括那些患有严重的玻璃眼损伤或先前手术的患者,都能很好地容忍GATT.
结论:
- 阴视镜辅助的透光轨道切除术 (GATT) 似乎是一种安全和有效的外科手术选择,用于乌维性玻璃眼 (UG).
- 精心的术前和术后管理对于减轻脑膜炎发作风险至关重要.
- 加特提供显著的IOP减少,可以减少UG患者的药物依赖.
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