结合Kahok双刀片角膜切除与Trabectome的法乳化,用于治疗开角玻璃眼的治疗
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Ultrasound Cyclo Plasty in Eyes with Glaucoma
Published on: January 26, 2018
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Dapeng Mou1, Jin Wang1,2,3, Huaizhou Wang1
1Beijing Tongren Hospital, Capital Medical University, Beijing, China.
概括
与KDB (Phaco-KDB) 和Trabectome (Phaco-Trabectome) 结合的法化都显著降低了眼内压力 (IOP) 和在开角玻璃眼患者的药物使用. 科-特拉贝克托姆提供了更可预测的早期恢复,而科-KDB显示了较低最终IOP的趋势.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 眼内压力管理 眼内压力管理
背景情况:
- 开角玻璃眼 (OAG) 需要有效的手术干预来控制眼内压力 (IOP).
- 与KDB (Phaco-KDB) 和Trabectome (Phaco-Trabectome) 结合的化是OAG的外科选择.
- 对比这些联合程序的疗效和安全性对于临床决策至关重要.
研究的目的:
- 在OAG患者中比较Phaco-KDB与Phaco-Trabectome的外科疗效和安全性.
- 为了评估眼内压力 (IOP) 降低和手术后6个月的药物使用.
- 评估手术后并发症的发生率,如内血压峰值.
主要方法:
- 一个比较的病例系列,涉及29名OAG患者的35只眼睛.
- 患者接受了Phaco-KDB或Phaco-Trabectome手术.
- 手术成功定义为≥20%的内血压降低或术后内血压降低≤21 mmHg;用于分析的Kaplan-Meier方法.
主要成果:
- 无论是Phaco-KDB还是Phaco-Trabectome,都显著降低了IOP和药物需求 (P<0.01).
- 在IOP或药物减少方面,两组之间没有发现显著差异 (P>0.05).
- 在6个月后,53.8% (Phaco-KDB) 和45.0% (Phaco-Trabectome) 实现了≥20%的内血压降低,92.3% (Phaco-KDB) 和85% (Phaco-Trabectome) 实现了≤21mmHg的内血压降低.
结论:
- 科-KDB和科-Trabectome都有效降低OAG中的IOP和药物负担.
- 法科-特拉贝克托马显示出一个更可预测的早期术后过程.
- 科-KDB显示了下降术后平均内血压的趋势,尽管在统计学上并不显著.
关键词:
这是一次阴茎切除术 (goniotomy).IOPOP IOPOP IOPOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP IOP视角开放的玻璃眼 (Open-angle glaucoma) 是一种视角开放的玻璃眼.手术 手术 手术更多相关视频
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