在1年内,法科-microhook腹腔内切除术和法科-iStent腹腔内微旁路支架之间的疗效在初级开角眼光和低眼内压的初级开角眼光中比较
Masato Matsuo1,2, Hiroki Fukuda3, Jedsada Buathong3,4,5
1Department of Ophthalmology, Shimane University Faculty of Medicine, Enya 89-1, Izumo, Shimane, 693-8501, Japan. matsuondmc@gmail.com.
概括
结合白内障手术与微腹内切除术 (phaco-μLOT) 或iStent (phaco-iStent) 降低了初级开角玻璃眼 (POAG) 患者的玻璃眼药物,患者具有低眼内压力 (IOP). 法科-μLOT显示潜在的IOP控制比法科-iStent.
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:
- 关于MIGS在正常紧张型玻璃眼患者的疗效的证据有限.
- MIGS手术通常针对高眼内压 (IOP) 路径.
- 主要开角青光眼 (POAG) 与控制的低手术前IOP呈现独特的治疗考虑因素.
研究的目的:
- 为了评估phaco-μLOT与phaco-iStent在POAG眼睛中的外科疗效,这些眼睛具有低年轻人手术前的IOP.
- 为了比较phaco-μLOT和phaco-iStent在降低药物负担和控制IOP的能力.
- 评估这些联合手术的1年术后结果.
主要方法:
- 75名患有POAG和手术前内血压<15 mmHg的患者进行了回顾性队列研究.
- 患者接受了phaco-μLOT (48只眼睛) 或phaco-iStent (27只眼睛) 作为初始的玻璃眼手术.
- 通过特定的IOP和减少标准定义的手术失败;随访时间为1年.
主要成果:
- 一年后,phaco-μLOT和phaco-iStent都显著降低了抗葡萄糖瘤药物的数量.
- 与法科-iStent组相比,法科-μLOT组的生存率显著更高.
- 这两种手术都没有显著降低手术后的IOP在这个低年轻IOP队列.
结论:
- 可-μLOT和可-iStent有望降低低青少年IOP的POAG中的药物需求.
- 在这种患者群体中,法科-μLOT可能与法科-iStent相比,可以提供优越的IOP控制.
- 在这种特定情况下,这些MIGS程序主要有效降低药物,而不是显著降低内血压.
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