在中度至严重的初级开角玻璃眼中,曲腹内针淋巴切除术的结果与化
Anand N Bukke1, Neha Midha2, Karthikeyan Mahalingam1
1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, Delhi, India.
Indian journal of ophthalmology
|July 11, 2024
概括
曲腹腔内针淋巴切除术 (BANG) 结合发泡乳化显著降低了眼内压力和药物使用在初级开角玻璃眼患者. 这种组合手术提供了一种安全有效的治疗选择,特别是在发展中国家.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 最少侵入性玻璃眼外科手术 (MIGS)
背景情况:
- 主要开角青光眼 (POAG) 是全球不可逆转失明的主要原因.
- 在POAG中,医学上不受控制的眼内压力 (IOP) 需要有效的手术干预.
- 发光乳化 (phaco) 是一种常见的白内障手术,可以与绿内障手术相结合.
研究的目的:
- 评估曲腹内针淋巴切除术 (BANG) 结合发泡乳化在中度至重度POAG患者的安全性和疗效.
- 评估BANG对眼内压力 (IOP) 的影响以及对抗白内障药物 (AGMs) 的需要.
主要方法:
- 进行了一项单臂前性干预研究.
- 患有医学上不受控制的POAG和视觉上显着的白内障的患者使用26度针进行了30度的BANG,随后进行了发酵.
- 主要结果是IOP减少;次要结果包括成功率,AGM减少和并发症.
主要成果:
- 这项研究包括32名患者的32只眼睛 (平均年龄为62.7岁).
- 在12个月后,观察到IOP从17.6 ± 3.6 mmHg显著减少到12 ± 1.6 mmHg (31.8%的下降,P < 0.001).
- 从3.7±0.9到2.8±0.8的AGM显著减少 (24.3%的下降,P<0.001). 总体而言,在87.5%的眼睛中取得了成功.
结论:
- 曲腹腔内针淋巴切除术 (BANG) 结合化是管理中度至重度POAG的安全有效的程序.
- 这种方法提供了一种可行的,负担得起的微创性玻璃眼手术 (MIGS) 选择,特别有利于发展中国家.
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