与白内障手术相比,与白内障手术一起注射iStent的纵向结果:来自Fight Glaucoma Blindness注册表的现实数据
Colin I Clement1, Vuong Nguyen, Frank Howes
1From the Save Sight Institute, University of Sydney, Sydney, Australia (Clement, Nguyen, Gillies, Lawlor); Eye Associates, Sydney, Australia (Clement, Gillies); Eye and Laser Centre, Gold Coast, Australia (Howes); Northern Beaches Cataract Retina Glaucoma, Brookvale, Australia (Danks); South West Eye Surgery, Warrnambool, Australia (Lee); Burwood Eye Surgery, Burwood, Australia (Wechsler); Eye Specialist Practice, Bondi Junction, Australia (Roberts); Sydney Eye Surgeons, Bondi Junction, Australia (Lawlor).
Journal of cataract and refractive surgery
|October 11, 2024
概括
与iStent注射相结合的发泡乳化显著改善了眼内压力 (IOP) 的降低,与单独的白内障手术相比. 这些真实数据显示,综合治疗方法的疗效更高,次要手术更少.
科学领域:
- 眼科医生 眼科 眼科
- 视光眼管理 视光眼管理
- 手术创新 在外科创新.
背景情况:
- 眼内压力 (IOP) 管理对于预防青光眼的进展至关重要.
- 发泡化是一种标准的白内障手术技术.
- 最少侵入性玻璃眼外科手术 (MIGS) 旨在通过改进的安全性来降低IOP.
研究的目的:
- 为了比较联合发酵和iStent注射与单独发酵的疗效.
- 为了评估经过这些手术的青光眼患者的现实结果.
主要方法:
- 使用FGB注册表进行的前性观察研究.
- 对1257只眼睛进行了联合化和iStent注射的比较,与163只眼睛进行了单独的化.
- 主要结局:在12个月内,眼睛的百分比达到>20%的内视线减少.
主要成果:
- 与白内障单独组 (30.1%) 相比,在iStent组 (40.9%) 观察到显著更高的IOP降低 (>20%) (P <.001).
- 在这两组中,不良事件的发生率较低.
- 在iStent集团中所需的二次IOP降低程序显著减少.
结论:
- 与iStent注射相结合的法化证明了在12个月后降低IOP的卓越现实有效性.
- 结合的方法减少了随后的IOP降低手术的需要.
- 注射iStent提供了一种有价值的选择,用于与白内障手术同时治疗青光眼.
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