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Ahmed Samy Elwehidy¹, Nader Hussein Lotfy Bayoumi², Mostafa A S Elwehidy³

¹Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Japanese journal of ophthalmology

|January 23, 2025

概括

在初级开角玻璃眼病 (POAG) 患者中,粘周周接-眼切除术 (VCST) 与细分粘周切除术 (VT) 相比,可以提供更优异的眼内压力降低. 这种角度手术提供了持续的IOP控制至少两年.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
外科手术的结果

背景情况:

主要开角青光眼 (POAG) 是不可逆转失明的主要原因.
有效的手术管理对于降低眼内压力 (IOP) 和预防视神经损伤至关重要.
基于角度的玻璃眼外科手术正在因其有效性和安全性而获得吸引力.

研究的目的:

为了比较粘性环形接轨膜切除术 (VCST) 和刚性探针细分粘性轨膜切除术 (VT) 的外科结果.
评估这些双角度手术技术在POAG患者的疗效和安全性.

主要方法:

一项前性随机受控研究,涉及107名POAG患者的166只眼睛.
患者被随机分配,接受VCST或VT.
随访时间延长至24个月,成功率定义为IOP≤18 mmHg,与基线相比降低40%.

主要成果:

与基线相比,VCST和VT都显著降低了IOP.
与VT组 (15.5±0.9 mmHg) (p<0.001) 相比,VCST组实现了较低的最终IOP (12.4±1.2 mmHg),与VT组相比 (15.5±0.9 mmHg) (p<0.001).
与VT (79.8%) 相比,VCST在24个月后的成功率 (85.4%) 较高,并且需要更少的随后的玻璃眼手术.

结论:

细分和周边角手术都有效降低POAG的IOP至少两年.
圆角外科手术 (VCST) 提供了更大的IOP减轻和需要更少的后续干预.
这些发现支持VCST作为潜在的更有效的选择来管理POAG.

关键词:

眼内压力眼内压力主要的开放角度眼镜.形切除术 (trabeculotomy) 是一个切除术.这是一种视切除术 (viscotrabeculotomy).

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