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Ultrasound Cyclo Plasty in Eyes with Glaucoma
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在亚洲的眼睛中,在轻度中等的开放角度眼光瘤中,在法化-iStent注射W和法化-微脉冲透膜激光疗法之间进行比较
Michel Marco Figueras1,2, Naoki Okada1,3, Chai Keong Tan1,4
1Department of Ophthalmology, National University Hospital, National University Health System.
Journal of glaucoma
|March 12, 2025
概括
与iStent Inject W和微脉冲跨层激光疗法相结合的法化在开角玻璃眼患者中显示出类似的1年失败率. 这两种手术都减少了药物负担,微脉冲透膜激光疗法显示持续的眼内压力降低.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 医疗器械 医疗器械
背景情况:
- 开角玻璃眼 (OAG) 和白内障往往并存,需要联合手术方法.
- 使用iStent Inject W和微脉冲透膜激光疗法 (MPTLT) 进行化是治疗这些疾病的外科选择.
- 评估这些联合程序的比较疗效和安全性对于临床决策至关重要.
研究的目的:
- 为了比较与iStent注射W (phaco/iStent) 结合的化疗法与微脉冲透膜激光疗法 (phaco/MPTLT) 结合的化疗法的一年疗效和安全性.
主要方法:
- 一项回顾性队列研究包括了患有轻度至中度OAG和白内障的患者,他们接受了phaco/iStent或phaco/MPTLT.
- 主要结局包括1年的累积失败概率,以疾病进展 (OCT-RNFL,VFT),重复手术或无法保持IOP低于基线/减少药物来定义.
- 分析的二次结果包括术后眼内压 (IOP),药物使用,视力敏度和并发症.
主要成果:
- 分析了46名患者 (每组23名). 一年的累积失败概率是相似的:52.20%的法可/iStent和47.80%的法可/MPTLT (P=0.994).
- 两组之间1年后手术后的IOP平均值相似 (15.57±2.95 mmHg对比14.39±2.25 mmHg;P=0.136).
- 两组都实现了显著的药物减少 (P<0.05),并发症率相似. 在12个月后,法科/MPTLT显示了统计学上显著的IOP比基线减少 (P=0.022).
结论:
- 与iStent Inject W或微脉冲跨层激光疗法相结合的法化在1年内显示出可比的外科疗效和安全性.
- 这两种结合的程序都有效地减少了对玻璃眼药物的需求.
- 微脉冲透视激光疗法可以在1年的研究期间提供持续的眼内压力降低.
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