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艾哈迈德白内障在1型角膜假体中的中期结果和并发症

Gowri Pratinya Kolipaka¹, Ramyashri Sastry¹, Naveen Nukala²

¹VST Centre for Glaucoma Care, L V Prasad Eye Institute, Kallam Anji Reddy Campus, Hyderabad, India.

|January 29, 2025

概括

艾哈迈德玻璃眼膜 (AGV) 植入物有效地控制了1型玻璃眼 (KPro) 眼睛中的玻璃眼,显著降低了眼内压力. 密切监测并发症,如管道问题和青光眼的进展是必不可少的.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
角膜外科手术角膜外科手术

背景情况:

玻璃眼是导致不可逆转失明的主要原因.
角膜假体 (KPro) 是严重的角膜失明的一种手术选择.
与KPro同时管理眼症带来了独特的挑战.

研究的目的:

评估艾哈迈德玻璃眼膜 (AGV) 植入1型KPro眼睛的结果和并发症.
评估AGV在控制眼内压力 (IOP) 的有效性.
为了确定视力威胁的并发症和影响青光眼植入AGV后青光眼稳定性的因素.

主要方法:

对38名1型KPro和AGV植入型印度患者 (2009-2021) 的回顾性审查.
最少6个月的随访,评估IOP,视野和最佳校正视敏度 (BCVA).
并发症,植入物存活率和需要重复的玻璃眼手术被记录为失败标准.

主要成果:

显著降低了内血压从30.4mmHg降至13.5mmHg (P<0.0001),并减少了药物使用 (3.4到1.7).
平均BCVA保持稳定 (P = 0.24),但10只眼睛的视野平均偏差恶化 (P = 0.05).
术后并发症发生在18.4%的眼睛中,包括管道阻塞 (13.1%) 和管道暴露 (5%);没有内眼炎或挤出.

结论:

艾哈迈德·格劳科马膜植入显示了对1型KPro眼睛格劳科马治疗的前景,特别是在年轻的印度患者中.
实现了有效的IOP控制,但青光眼的进展需要持续监测.
与输卵管相关的并发症需要警的随访和管理.

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