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在晚期青光眼中,用阴视镜辅助的透光叶切除术 (GATT) 的结果:回顾性分析

Gülizar Soyugelen¹, Umay Güvenç¹, Ayşe Burcu¹

¹Affiliation: Ankara Training and Research Hospital, Ophthalmology Clinic, 06340 Ankara, Türkiye.

Medicina (Kaunas, Lithuania)

|March 27, 2025

概括

阴视镜辅助的透光轨道切除术 (GATT) 手术为晚期青光瘤提供了安全有效的治疗方法,显著降低了眼内压力 (IOP) 和药物需求. 长期随访证实了持续的IOP控制和最小的严重并发症.

科学领域:

眼科医生眼科眼科
手术创新在外科创新.
视光眼管理视光眼管理

背景情况:

青光眼的治疗寻求更少的侵入性,更有效的手术选择.
先进的玻璃眼外科手术带有严重的并发症和视力损失的风险.

研究的目的:

评估晚期玻璃眼患者的经光透视辅助透光轨道切除术 (GATT) 的结果.
评估早期和长期的外科手术成功率和GATT的安全性.

主要方法:

对接受GATT治疗的高级开角青光眼 (OAG) 患者的回顾性研究.
随访包括IOP,RNFL厚度 (OCT),周周毛囊VD (OCT血管学) 和VF测试.
手术成功的定义是内血压降低 (≥20%),最终内血压降低 (≤21 mmHg),没有进一步的手术.

主要成果:

在6个月和24个月的手术成功率分别为81.8%和76.5%.
平均内血压降低了40%以上 (p < 0.001),青光眼药物降低了66.2%.
周 papillary 血管密度保持稳定;轻度血是最常见的并发症 (34.1%).

结论:

对于晚期玻璃眼瘤来说,GATT是一种安全有效的除管切除术的替代方案.
该程序实现了显著的IOP减少与稳定的周毛囊静脉疾病和低并发症率.
长期数据 (24个月) 支持GATT的有效性,尽管在复杂的情况下建议谨慎.

关键词:

晚期的玻璃眼 glaucoma 的情况.经镜辅助的透光轨道切除术 (GATT)周周囊血管密度 (VD) 是指周周囊血管的密度.伪皮性玻璃眼 (PXG) 是一种

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