在内部移除错位的快速压缩玻璃眼装置,并与bleb针相结合
Daigo Kobayashi1, Tadamichi Akagi2, Tetsuya Togano1
1Division of Ophthalmology and Visual Science, Niigata University Graduate School of Medical and Dental Sciences, 1-757, Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan.
Japanese journal of ophthalmology
|May 7, 2025
概括
在内部外,Ex-PRESS带有Bleb针的分流移除有效地治疗了错位的玻璃眼设备. 这种程序在大多数情况下改善了眼内压力 (IOP) 和斑块形成,并发症最小.
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:
- 位置不正确的Ex-PRESS DrDeramus分流装置可能会导致并发症.
- 针对这种错位的有效管理策略对于患者的治疗结果至关重要.
研究的目的:
- 为错位的Ex-PRESS DrDeramus轮提供一个内置移除技术,并与针程序相结合.
- 评估这种综合方法的安全性和有效性.
主要方法:
- 一个回顾的案例系列的四名患者与错位的Ex-PRESS分流.
- 进行了腹腔内移除和针头血栓修复.
- 分析了包括眼内压力 (IOP),角膜内皮细胞密度 (ECD) 和前段光学连贯断层扫描 (AS-OCT) 在内的临床数据.
主要成果:
- 在这四个案例中,联合手术在没有严重并发症的情况下进行.
- 眼内压力 (IOP) 在手术后下降 (中位数为手术前10.5mmHg至12个月后10mmHg).
- 虽然ECD在某些情况下显示了手术前的减少,但在手术后仍然稳定;在一个后部错位病例中,血栓形成和IOP有所改善.
结论:
- 在内部,将Ex-PRESS设备移除与Bleb针相结合是管理错位的Ex-PRESS设备的有价值的程序.
- 这种技术提供了一个可行的选择,用于解决短线并发症,具有有利的短期结果.
- 可能需要进一步的研究来评估长期疗效和患者选择.
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