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PRESERFLOTM MicroShunt作为一种治疗选择,用于初级开角玻璃眼和伪剥皮玻璃眼的高度增加的眼内压

Theresa Theilig¹, Menelaos Papadimitriou², Daniel Meller²

¹Department of Ophthalmology, University Hospital Jena, Am Klinikum 1, 07747, Jena, Germany. theresa.theilig@med.uni-jena.de.

Eye (London, England)

|May 19, 2025

概括

在玻璃眼病患者中,Preserflo-MicroShunt (PF) 有效降低高和中等眼内压力 (IOP). 12个月后的结果在各组之间是可比的,这表明PF适合于不同的IOP水平.

科学领域:

眼科医生眼科眼科
视光眼管理视光眼管理
手术设备手术设备

背景情况:

在Preserflo-MicroShunt (PF) 是一个成熟的青光眼设备,具有良好的安全性.
由于研究排除,它在眼睛中具有明显升高的手术前眼内压力 (IOP) 的有效性较少被记录.

研究的目的:

为了评估Preserflo-MicroShunt (PF) 在高高度的手术前内脏压力 (IOP) 的青光眼患者的结果.
将这些结果与中度升高内压患者的结果进行比较.

主要方法:

对接受PF植入的原发性开角玻璃眼 (POAG) 和伪脱皮玻璃眼 (PXG) 患者的回顾性分析.
患者被分为高度增加的内血压 (HI-IOP,≥30 mmHg) 和中度增加的内血压 (MI-IOP,≤25 mmHg) 组.
眼内压力 (IOP),药物使用,成功率和并发症在1,3,6和12个月后进行了比较.

主要成果:

在术后一年,HI-IOP (39.0~14.4mmHg) 和MI-IOP (19.5~14.0mmHg) 组的内压均显著降低.
在第一年,两组的成功率相似.
在HI-IOP组显示了较高的持续性低血压率 (7%对0%) 和趋向于更多的冠状腺脱落的趋势 (23%对11%).

结论:

在POAG和PXG中,Preserflo-MicroShunt (PF) 是一个合适的选择,用于管理高度和中度升高的IOP.
观察到长达12个月的可比性外科结果,支持在手术前IOP水平的范围内的PF使用.

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