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阴视镜辅助的透光斜视切除术 (GATT) 用于化眼内透镜和青光眼的膜或虹膜固定
Tal Sharon1,2,3, Liron Naftali Ben-Haim1,2, Nimrod Dar1,2,3
1Department of Ophthalmology, Meir Medical Center, Kfar Saba, Israel.
Indian journal of ophthalmology
|July 11, 2024
概括
潜眼内透镜 (IOL) 和青光眼的联合手术有效降低了眼睛的压力和药物需求. 这种方法确保了IOL的稳定性,并改善了视力敏度,提供了成功的治疗选择.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 白内障手术 手术 白内障手术
背景情况:
- 潜浮眼内透镜 (IOL) 可以导致青光眼或眼睛高血压.
- 综合手术方法可能为这些复杂的病例提供解决方案.
研究的目的:
- 评估结合镜辅助透光轨道切除术 (GATT) 与眼内透镜 (IOL) 固定的疗效和安全性,用于治疗潜眼内透镜和青光眼或眼睛高血压.
主要方法:
- 在2019年11月至2023年7月期间,对接受IOL固定和GATT联合治疗的患者进行了回顾性图表审查.
- 手术成功的定义是:眼内眼镜的位置很好,眼内压力 (IOP) ≤18mmHg,眼内压力降低30%或减少药物使用.
- 记录了并发症和重新操作率.
主要成果:
- 11名患者 (平均年龄为80.45岁) 患有伪脱皮相关的IOL外置,接受了联合手术.
- 成功率为72.73%,平均随访时间为15.36个月.
- 平均内腔压力从20.63 mmHg降至13.86 mmHg,药物使用显著减少;所有内腔压力都很好,无需重新手术.
结论:
- 阴视镜辅助的透光轨道切除术 (GATT) 结合眼镜内膜固定是一种有效的治疗以光眼为主的潜眼镜.
- 这种综合方法成功地降低了眼内压力和药物依赖,同时保持了眼内镜的稳定性.
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