PreserFlo MicroShunt 的术后结果在患有脱皮玻璃眼的患者中
Hiroyuki Wakuda1, Ryota Aoki1, Shunsuke Nakakura1
1Department of Ophthalmology, Saneikai Tsukazaki Hospital, Himeji 671-1227, Japan.
Journal of clinical medicine
|October 26, 2024
概括
在48周的时间里,PreserFlo MicroShunt在亚洲患有脱皮绿内障的患者中显示出50%的成功率. 建议谨慎使用,因为在这个患者群体中,复手率为30%.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 医疗器械 医疗器械
背景情况:
- 脱皮光眼是一种常见的二次开角光眼的类型.
- 玻璃眼瘤手术的目的是降低眼内压力 (IOP) 并防止视神经受损.
- PreserFlo MicroShunt是一种用于管理耐火性玻璃眼的设备.
研究的目的:
- 评估PreserFlo MicroShunt在亚洲患有脱皮绿内障的患者的术后结果.
- 评估PreserFlo MicroShunt在这个特定的人群中的有效性和安全性.
- 为了确定程序后的成功率和重新操作率.
主要方法:
- 一组29名患有脱皮绿内障的亚洲患者接受了PreserFlo MicroShunt手术.
- 使用Kaplan-Meier生存分析来评估结果.
- 成功是通过IOP降低 (≥20%) 和目标IOP范围 (5-21,5-18,或5-15 mmHg) 来定义的,针刺和药物作为合格的成功.
主要成果:
- 平均随访时间为27.9周,复手率为31%.
- 在IOP条件下,24周的完全成功率从49%到56%不等.
- 在IOP条件下,24周的合格成功率从53%到67%不等.
结论:
- 在24周和48周,PreserFlo MicroShunt在亚洲患有脱皮绿内障的患者中显示出大约50%的成功率.
- 观察到大约30%的显著重新运行率.
- 建议在使用PreserFlo MicroShunt进行脱皮绿内障管理时谨慎考虑.
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