第二次白内障切除术与青光眼疏通装置在初级白内障切除术失败后青少年开放角度眼光眼的结果
Kasem Seresirikachorn1,2, Kornkamol Annopawong1, Nucharee Parivisutt1
1Department of Ophthalmology, College of Medicine, Rangsit University, Rajavithi Hospital.
Journal of glaucoma
|December 11, 2024
概括
在初始手术失败后,第二次带切除术和玻璃眼疏通装置 (GDD) 在青少年开角玻璃眼中表现出类似的成功. 然而,带切除术需要更少的药物,尽管四分之一需要第三次手术.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 追溯性队列研究 追溯性队列研究
背景情况:
- 青少年开放角光眼 (JOAG) 带来了独特的挑战,通常需要重复的手术干预.
- 初级带切除术失败需要评估用于有效控制眼内压力 (IOP) 的替代手术策略.
研究的目的:
- 为了比较第二次垂切除术的疗效和结果与在初始垂切除术失败后在JOAG患者中插入青光眼排水装置 (GDD) 的效果.
主要方法:
- 一个回顾性评价的JOAG患者经过二次玻璃眼外科手术 (trabeculectomy或GDD) 后的初级玻璃眼外科手术失败.
- 收集的数据包括人口统计数据,手术细节和临床结果,重点关注5年的成功率,IOP和药物使用.
主要成果:
- 第二次带切除术和GDD插入在3年和5年表现出相似的合格成功率 (81.5%与80.0%在3年;63.2%与70.0%在5年).
- 两组之间没有观察到术后IOP的显著差异.
- 五年后,GDD组需要显著更多的青光眼药物 (2.3对1.3种药物).
结论:
- 第二次带切除术和GDD插入是初级带切除术失败后管理JOAG的有效选择.
- 第二次带切除术可能具有优势,因为它需要更少的药物来控制IOP.
- 在两组患者中,大约25%的患者需要在2.5年内进行第三次青光眼手术.
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