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长期有效性和XEN45的安全性在开角青光眼患者
Roberto G Carassa1, Gabriele Corsini2,3, Giacinto Triolo2,4
1Centro Italiano Glaucoma, Viale Tunisia, 45, 20124, Milan, MI, Italy. carassa@glaucoma.it.
International ophthalmology
|July 3, 2024
概括
XEN45植入物,单独或与发泡化,有效降低眼内压力 (IOP) 和减少药物需求在开角青光眼患者,证明了有利的安全性.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 医疗器械 医疗器械
背景情况:
- 开放角光眼 (OAG) 需要有效的长期眼内压力 (IOP) 管理.
- 植入XEN45是一种最小侵入性的选择,用于降低IOP.
- 在OAG中评估XEN45植入物的有效性和安全性至关重要.
研究的目的:
- 在OAG患者中评估XEN45植入物的长期有效性.
- 为了评估XEN45植入物的安全性,单独或与化混合.
- 为了确定XEN45植入物对药物使用的影响.
主要方法:
- 对158个OAG眼睛进行XEN45植入的回顾性单中心研究 (2017年2月 - 2021年12月).
- 主要终点:与手术前值相比,IOP的平均减值.
- 手术成功的定义是≥20%的内血压降低和内血压在6-13mmHg之间,有或没有药物.
主要成果:
- 平均手术前内血压显著减少,从19.4±6.5 mmHg降至12.4±5.0 mmHg (p<0.0001).
- 平均药物使用量从3.4±0.9下降到0.9±1.3 (p<0.0001).
- 53.2%的眼睛取得了手术成功,其中58.3%的眼睛完全成功;0.6%的眼睛经历了内眼炎.
结论:
- XEN45植入物,单独或与发泡乳化,显著降低OAG患者的内脏压力.
- XEN45植入物减少了对眼部潜在药物的需要.
- 植入XEN45显示了长期OAG管理的良好的安全性.
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