双部位与单部位硬探头粘膜切除术在初级先天性玻璃眼瘤中的一年结果
Eman M El Hefney1, Eman A Atallah1, Hanem Kishk1
1Ophthalmology, Faculty of Medicine, Mansoura University, Egypt.
European journal of ophthalmology
|January 29, 2025
概括
单位粘膜切除术和双位粘膜切除术在治疗初级先天性玻璃眼 (PCG) 中的成功率相似. 这两种手术都是安全有效的,单位手术为未来的手术保留了更多的角度.
科学领域:
- 眼科医生 眼科 眼科
- 儿科玻璃眼手术 儿科玻璃眼手术
- 手术技巧 手术技巧
背景情况:
- 初级先天性玻璃眼 (PCG) 是婴儿中严重形式的玻璃眼.
- 有效的手术管理对于保护PCG患者的视力至关重要.
- 了解手术程度对治疗结果的影响对于优化治疗很重要.
研究的目的:
- 为了比较单位与双位硬探头粘膜切除术在治疗初级先天性玻璃眼瘤的疗效.
- 为了评估角度治疗程度对粘结膜切除术成功率的影响.
- 评估这两种手术方法的安全性和并发症概况.
主要方法:
- 一项前性随机研究,涉及35名双边PCG儿童的70只眼睛.
- 每个患者的一只眼睛接受了单位硬探头粘膜切除术 (S组),而另一只眼睛接受了双位硬探头粘膜切除术 (D组).
- 成功被定义为眼内压力 (IOP) 控制在一年的随访,完全成功 (IOP ≤16 mmHg没有药物) 和合格的成功 (IOP ≤16 mmHg与药物).
主要成果:
- 一年完整的成功率为单位切除术的88.57%,双位切除术的91.43%,没有统计学上显著的差异 (p=0.9).
- 在这两组中都没有报告任何重大并发症.
- 缺血是观察到的最常见的,自我限制的并发症.
结论:
- 单位粘膜切除术在治疗初级先天性玻璃眼瘤方面表现出与双位粘膜切除术相似的疗效.
- 单位方法保留了更多的虹膜角,如果需要,可能会促进未来的手术干预.
- 这两种技术都为PCG提供了安全有效的治疗选择.
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