在患有角关闭性玻璃眼患者中,对比管管与轨道管切除术的结果
Hani El Helwe1, Sandy Samuel2, Henisk Falah3
1Harvard Medical School, Massachusetts Eye and Ear, Boston, Massachusetts.
Ophthalmology. Glaucoma
|April 18, 2024
概括
带有mitomycin C (Trab-MMC) 的带切除术显示了相似的合格成功率和眼内压力降低,相比于用于角关闭玻璃眼的管道分流手术 (Tube). 特拉布-MMC提供了更好的药物减少和完全成功率,长达两年.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 外科手术的结果
背景情况:
- 闭角玻璃眼 (ACG) 对视力构成重大风险.
- 用于管理ACG的手术干预措施,如管道分流手术 (Tube) 和使用米托米辛C (Trab-MMC) 的轨道切除术.
- 对比这些程序的有效性和安全性对于临床决策至关重要.
研究的目的:
- 为了比较管道分流手术 (Tube) 和用mitomycin C (Trab-MMC) 进行的带切除术的外科结果,在被诊断为角关闭型玻璃眼 (ACG) 的患者中.
主要方法:
- 进行了一项回顾性,非随机的比较研究,涉及80名ACG患者的80只眼睛.
- 患者在2015年1月至2022年1月期间接受了管道 (N=50) 或Trab-MMC (N=30) 手术.
- 分析了来自390名患者访问的数据,重点关注卡普兰-梅尔成功率,眼内压 (IOP),药物负担,最佳校正视力敏度 (BCVA) 和并发症.
主要成果:
- 这两种手术都显著降低了手术后长达2年的内脏压力和药物负担.
- 在Trab-MMC中,完全成功率 (CS) 较高,而合格成功率 (QS) 在Tube和Trab-MMC之间相似.
- 两组手术之间没有观察到IOP降低,BCVA或并发症率的显著差异.
结论:
- 带有mitomycin C (Trab-MMC) 的轨道切除术在ACG患者中提供了与管道分流手术 (Tube) 相比的可比眼内压力降低和合格的成功率.
- 特拉布-MMC显示,在长达一年的时间里,药物负担降低得更为优异,在长达两年的时间里,完全成功率更为有利.
- 这两种手术方法都保持了相似的并发症率,突出了它们的安全性.
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