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在经过镜辅助的透光轨道切除手术后,针对伪剥皮绿眼病的上膜溢出发作的临床分析

Murat Gunay¹, Burak Uzun¹, Adem Turk¹

¹Faculty of Medicine, Department of Ophthalmology, Karadeniz Technical University, Trabzon, Turkey.

Acta ophthalmologica

|November 7, 2024

概括

在伪剥皮眼光病 (PEXG) 的经过阴视镜辅助透光轨道切除术 (GATT) 手术后,上眼输液 (SCE) 是常见的,并与较低的早期眼内压力 (IOP) 和减少药物治疗需求有关. 光谱域光学连贯性断层扫描 (SD-OCT) 可以识别SCE作为一个积极的预后指标.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
手术并发症手术并发症

背景情况:

伪剥皮绿内障 (PEXG) 是二次开角绿内障的一种常见形式.
阴视镜辅助的透光斜视切除术 (GATT) 是一种有效的手术程序,用于降低青光眼患者的眼内压力 (IOP).
手术后的眼上溢液 (SCE) 是眼内手术后的潜在并发症.

研究的目的:

为了研究膜上流的临床特征 (SCE) 发展经过镜辅助透光轨道切除术 (GATT).
评估SCE对伪剥皮绿内障 (PEXG) 患者手术结果的影响.

主要方法:

一项前性观察性研究,涉及64只眼睛的64名PEXG患者接受了GATT.
光谱域光学连贯性断层扫描 (SD-OCT) 用于在12个月的随访期间检查患者.
评估的结果包括手术成功,IOP,最佳校正的视敏度 (BCVA),抗白内障药物数量 (AGM) 和并发症,比较SCE (+) 和SCE (-) 组.

主要成果:

在第一个术后一周内,在60.9%的眼睛中观察到超流 (SCE).
与SCE (-) 组相比,SCE (+) 组显示出明显更高的完整手术成功率和较低的早期术后IOP.
在SCE (+) 组中,术后的AGM使用明显较低,尽管SCE解决后IOP增加.

结论:

对于PEXG来说,GATT之后的SCE存在与有利的早期术后结果有关,包括更低的IOP和减少对抗白内障药物 (AGM) 的需求.
光谱域光学连贯性断层扫描 (SD-OCT) 是检测SCE的一个有价值的工具.
在PEXG患者中,SCE可以作为GATT的有用预后指标.

关键词:

玻璃眼 glaucoma 玻璃眼玻璃眼玻璃眼玻璃眼经光镜辅助的透光形形切除术.眼内压力眼内压力药物治疗药物治疗伪剥皮是一种伪剥皮.上流的输出上流的输出

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