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眼内压力与眼睛反应分析仪的有用性,以预测玻璃眼瘤中手术后的低位症并发症
Juri Ryu1, Ryo Asaoka1,2, Shunsuke Nakakura3
1Department of Ophthalmology, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.
Translational vision science & technology
|October 3, 2024
概括
较高的手术前角膜补偿眼内压力 (IOPcc) 和伪发病预测了绿眼镜手术后的低血压并发症. 测量IOP与眼睛反应分析仪在trabeculectomy之前是有用的预测.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 眼部生物力学 眼部生物力学
背景情况:
- 低位症并发症可能会发生在玻璃眼外科手术后,如trabeculectomy.
- 预测这些并发症对于患者的治疗结果至关重要.
研究的目的:
- 为了评估眼内压力 (IOP) 测量的预测值,使用眼睛反应分析仪对低血压并发症进行测量.
- 为了确定显著的低血压的预测因子,以后的trabeculectomy或bleb针与mitomycin C.
主要方法:
- 66只眼睛的队列接受了轨道管切除术或用米托米辛C进行血栓注射.
- 多变量逻辑回归分析了包括IOP,角膜歇斯底里和患者人口统计学在内的预测因素.
- 评估了手术前眼部反应分析仪的指标,包括IOPcc.
主要成果:
- 较高的手术前角膜补偿IOP (IOPcc) 是低血压并发症的重要预测因素 (P = 0.0062).
- 伪恐惧症也被确定为一个显著的预测因素 (P = 0.0069).
- 术前IOP和IOPcc的较高切断值增加了并发症的可能性.
结论:
- 术前升高的IOPcc和伪发性状态的存在是低血压并发症的重要危险因素.
- 眼响应分析仪的测量对于预测轨道切除术后的低血压有价值.
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