糖尿病:施莱姆的道基础的微创性玻璃眼手术中的一个危险因素
Etsuo Chihara1, Eri Nakano2, Tomoyuki Chihara1
1Sensho-kai Eye Institute, Minamiyama 50-1, Iseda, Kyoto 611-0043, Japan.
Journal of clinical medicine
|January 8, 2025
概括
糖尿病 (DM) 负面影响了施莱姆的道基础的微创性玻璃眼外科手术 (MIGS) 的结果. 与非糖尿病患者相比,糖尿病患者经历了更高的术后眼内压力 (IOP) 和降低的成功率.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 外科手术的结果
背景情况:
- 针对施莱姆运河的最小侵入性玻璃眼手术 (MIGS) 是一种常见的玻璃眼治疗方法.
- 糖尿病对这些程序的长期疗效的影响尚未完全理解.
研究的目的:
- 为了研究糖尿病 (DM) 对施莱姆道基MIGS.结果的影响.
- 为了比较糖尿病和非糖尿病绿眼患者的术后眼内压 (IOP) 和手术成功率.
主要方法:
- 追溯队列研究分析了109名患者 (25名糖尿病患者,84名非糖尿病患者) 患有初级开角玻璃眼或眼睛高血压.
- 术后的IOP,室内出血和长期IOP控制在平均35.3个月的随访期间进行了评估.
主要成果:
- 糖尿病患者和非糖尿病患者群体之间在手术前IOP没有显著差异.
- 糖尿病患者的术后IOP从3个月到2年显著增加 (p=0.019到0.001).
- 在糖尿病患者中观察到较低的3年IOP控制率 (≤15 mmHg:17.8%vs30.4%,p=0.042;≤18 mmHg:56.7%vs79.5%,p=0.065). 糖尿病是6个月和12个月后更高的术后IOP的重要危险因素 (p<0.001).
结论:
- 糖尿病是施莱姆道基MIGS中低于最佳结果的重要危险因素.
- 糖尿病患者在这种类型的玻璃眼手术后不太可能达到目标IOP水平.
- 可能需要进一步的研究来优化MIGS策略对糖尿病绿内障患者.
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