在选择性激光膜整形术后,未经治疗的对侧眼中的眼内压力反应
Jason Dossantos1, Tyler Muser1, Devin Hill1
1Department of Ophthalmology, George Washington University School of Medicine and Health Sciences, Washington, USA.
Cureus
|August 26, 2024
概括
选择性激光护眼术 (SLT) 在6周6个月后显著降低了未经治疗的同伴眼睛的眼内压力 (IOP) 和药物需求. 在接受治疗的眼睛中取得成功,增加了在其他眼睛中取得成功的可能性.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 激光疗法是一种激光疗法.
背景情况:
- 选择性激光轨道造形术 (SLT) 是一种常见的开角玻璃眼的治疗方法.
- SLT对未经治疗的对侧眼的影响尚未得到充分证实.
研究的目的:
- 评估SLT对眼内压力 (IOP) 和药物使用在同伴,未经治疗的眼睛的影响.
- 确定SLT在对方眼中的成功率,并确定影响它的因素.
主要方法:
- 对125名用360度SLT治疗的开角绿眼患者的回顾性图表审查.
- 排除之前/之后使用过激光/手术或使用过皮质类固醇的患者.
- 在6周,6个月和12个月内分析了IOP,药物减少和SLT的成功.
主要成果:
- 在6周和6个月的逆侧眼中观察到显著的IOP和药物减少 (p<0.05).
- 反侧眼成功率在6周/6个月时为24%,在12个月时为20.8%.
- 反侧眼成功与双侧眼成功有很强的关联 (OR 5.05-16.1,p<0.001).
结论:
- 第一次SLT导致在6周和6个月后对侧眼的IOP和药物减少显著.
- 如果治疗眼睛在12个月内取得成功,相反的眼睛成功的可能性是5.05-16.1倍.
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