相关实验视频

Updated: Jun 11, 2025

Ultrasound Cyclo Plasty in Eyes with Glaucoma

Ultrasound Cyclo Plasty in Eyes with Glaucoma

Published on: January 26, 2018

通过ab-interno手术技术进行道整形手术,用于患有主角闭眼光病的患者

Mahmoud A Khaimi¹, Ben J Harvey², Jessica Hsueh²

¹Dean McGee Eye Institute, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. mahmoudkhaimi@dmei.org.

International ophthalmology

|October 4, 2024

概括

使用 iTrack 微导管进行的道整形术是一种安全有效的初级角闭眼光病 (PACG) 治疗方法,可显著降低眼内压力和药物需求. 这种程序,无论是独立的还是与化相结合,都对PACG患者带来了持久的好处.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
微导管技术微导管技术

背景情况:

由于眼内压力升高 (IOP),初级闭角光眼 (PACG) 对视力构成重大风险.
传统的青光眼手术可能是侵入性的; 越来越多地探索了最小侵入性的技术.
运河整形提供了一种潜在的替代方案,通过增强水性幽默的外流来减少IOP.

研究的目的:

评估在PACG患者中使用iTrack微导管进行的管道整形手术的临床结果.
为了比较道整形作为一个独立的程序与与化相结合.
评估这种在不同程度的青光眼内科技术的安全性和有效性.

主要方法:

一个回顾60个眼睛的案例系列,其中PACG使用iTrack微导管进行了腹内运河整形.
患者根据青光眼的严重程度分组,以及管整形是独立的还是与发泡化结合的.
眼内压力 (IOP) 和青光眼药物的使用是主要的结局指标,在平均26个月的随访期间进行评估.

主要成果:

运河整形显著降低了平均内血压从21.9 mmHg降至14.6 mmHg (p < 0.001),药物数量从1.95降至0.96 (p < 0.001).
无论是单独的还是组合的手术,以及对轻度,中度和重度青光眼的手术,都显示出显著的内皮压力降低.
没有报告任何严重的手术内或手术后并发症,这表明了有利的安全性.

结论:

使用 iTrack 微导管进行腹内运河整形术是一种安全且临床有效的PACG治疗方法.
该手术表明持续下降内血压和降低药物依赖,直至手术后2年.
运河整形是PACG管理的一个可行的选择,无论是作为单独的治疗,还是与发酵化一起进行.

关键词:

腹内运河整形手术 (Ab-internal canaloplasty) 是一种体内运河整形手术.视角关闭光眼 (Glaucoma) 是一种在ITrack微导管中使用.狭视角光眼 (Narrow-Angle Glaucoma) 是一种视角狭窄的光眼.发泡乳化法可化

更多相关视频

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction

Published on: October 13, 2017

Iris Fixation via External Pentagram Suturing

Iris Fixation via External Pentagram Suturing

Published on: May 5, 2022

相关概念视频

Angle Closure Glaucoma: Treatment

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...

Open Angle Glaucoma: Treatment

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...

Glaucoma: Overview

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...