在纳米眼患者的治疗中,法可化联合玻璃眼的手术具有二次角关闭玻璃眼的患者

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Dapeng Mou¹, Jin Wang^1,2,3, Ye Zhang¹

¹Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, No. 1 Dong Jiao Min Xiang Street, Dongcheng District, Beijing, 100730, China.

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie

|February 18, 2025

概括

用于玻璃眼外科手术的发酵溶解对二次角度闭合玻璃眼 (NSACG) 的纳米眼有效. 新的轴长度标准指导了手术选择,改善了NSACG患者的治疗结果和减少了并发症.

科学领域:

眼科医生眼科眼科
手术创新在外科创新.
玻璃眼研究研究玻璃眼研究

背景情况:

由于其解剖学特征和高并发症风险,二次角度闭眼光眼 (NSACG) 的纳米眼具有独特的外科挑战.
短轴长 (AL) 是纳米眼中术后并发症的已知危险因素.

研究的目的:

为了评估 phacoemulsification 与玻璃眼手术相结合的疗效和安全性.
评估基于新的轴长 (AL) 标准的外科治疗结果,用于纳米眼患者的二次角度闭眼光瘤 (NSACG).

主要方法:

对NSACG患者病历的回顾性分析,根据AL分类为两组 (17-20毫米和<17毫米).
第1组 (<20毫米AL) 接受了发酵乳化,粘结膜造形,前部平面切除术 (PVP),带有切除术 (Trab) 或内光凝固 (ECP).
第二组 (<17毫米AL) 接受了PVP结合轨道切除术和硬膜切除术 (PVPTS).

主要成果:

22名患有NSACG的患者 (31只眼睛) 接受了平均50.2个月的随访.
与第1组相比,AL<17毫米 (2组) 的患者视力敏度较差,并且在手术前需要更多的内血压降低药物.
两组都显示出显著的IOP降低和术后降低药物使用,没有恶性玻璃眼事件.

结论:

与Trab或ECP相结合的化和PVPTS是NSACG的有效和安全的外科选择.
在NSACG中使用新的AL手术选择标准可能会导致改善眼内压力 (IOP) 控制和减少并发症率.

关键词:

轴长度轴长度轴长度眼光障碍眼光障碍眼光障碍眼光障碍我们的纳米体.手术手术手术术术

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