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在初级婴儿绿眼中,使用Ologen植入物对抗mitomycin C的亚膜带切除术
Rehab R Kassem1, Amanne F Esmael1
1Department of Ophthalmology, Cairo University, Cairo, Egypt.
概括
奥洛根植入物和米托米辛C (MMC) 在治疗初级先天性玻璃眼的疗效和安全性相似. 使用Ologen植入物的重新手术应推迟至手术后至少4个月.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 手术干预 手术干预
背景情况:
- 初级先天性玻璃眼 (PCG) 是一种严重的玻璃眼形式,需要有效的手术治疗.
- 用菌素C (MMC) 增强的亚膜管切除术 (SST) 是一种常见的治疗方法,但正在探索替代辅助方法.
研究的目的:
- 为了比较辅助米托菌素C (MMC) 增强的脑下带切除术 (SST) 与Ologen植入物的疗效和安全性,作为初级先天性玻璃眼的二次手术.
主要方法:
- 一项对38只用MMC (17只眼睛) 或Ologen植入物 (21只眼睛) 进行SST的眼睛的回顾性研究.
- 眼内压力 (IOP) ≤18 mmHg对于婴儿<1岁和≤20 mmHg对于年长的孩子定义成功的结果.
- 主要终点在5-9个月,次要终点在最后一次随访.
主要成果:
- 这两组在初级 (47.1% MMC vs 47.6% Ologen) 和二级终点 (47.1% MMC vs 52.4% Ologen) 上表现出相似的成功率.
- 在MMC组中,IOP的降低在整个过程中都是显著的,而Ologen组从术后4个月开始显示出显著意义.
- 两组之间没有观察到白内障或瞳孔异常等并发症的显著差异.
结论:
- 原体植入物是MMC的可行的替代品,用于增强初级先天性玻璃眼中的SST,显示出类似的疗效和安全性.
- 在用Ologen植入物治疗的病例中,临床医生应避免在早期 (4个月前) 重复手术,以确保足够的愈合和效果.
关键词:
可生物降解的原基质植入物.这是一种Ologen.这就是为什么Bleb Bleb Bleb.眼内压力 眼内压力米托Mycin C 的使用情况.一次性先天性玻璃眼.原发性婴儿眼光 (英语:primary infantile glaucoma) 是一种儿童眼光.下面的状带切除术.更多相关视频
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