超鼻与下鼻下结膜凝支架安置在患有玻璃眼的患者
Brandon L Vander Zee1, Caroline Wilson2, John P Berdahl3
1Department of Ophthalmology and Visual Sciences, University of Nebraska Medical Center, Nebraska, United States.
Journal of current glaucoma practice
|August 15, 2024
概括
在下鼻或上鼻象限植入副结膜凝支架有效降低眼内压力,并减少青光眼患者的药物需求. 这两种方法在12个月的时间内都显示出可比的安全性和有效性.
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:
- 青光眼的治疗通常需要进行手术以降低眼内压力 (IOP).
- 副结膜凝支架提供了一种最小侵入性的选择,用于治疗青光眼.
- 下凝支架的最佳放置象限仍然是一个研究领域.
研究的目的:
- 为了比较 subconjunctival 凝支架植入超鼻腔 (SN) 和下鼻腔 (IN) 象限中的安全性和有效性,用于治疗青光眼.
- 评估凝支架安置对眼内压力和药物要求的影响.
主要方法:
- 一项回顾性研究包括了接受IN (n=29) 或SN (n=96) 凝支架安置并至少3个月的随访的患者.
- 眼内压力 (IOP) 和绿眼病药物计数在1,3,6和12个月的术前和术后记录下来.
- 安全结果包括bleb注射,并发症率,以及需要额外的手术.
主要成果:
- 与SN组 (21.6 ± 9.2 mm Hg) 相比,IN组的基线IOP显著更高 (32.4 ± 11.7 mm Hg).
- 在IN和SN组之间,在3,6和12个月后,术后的IOP和青光眼药物的数量是相似的.
- 在这两个安置组之间,Bleb针切割和额外手术的比率是可比的.
结论:
- 下鼻和上鼻下结膜凝支架在治疗开角玻璃眼时都是安全有效的.
- 凝支架植入导致药物使用和IOP显著减少.
- 在耐火玻璃眼病病例中,下鼻腔植入是超鼻腔植入的可行替代方案.
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