相关实验视频

Updated: Sep 20, 2025

Ultrasound Cyclo Plasty in Eyes with Glaucoma

Ultrasound Cyclo Plasty in Eyes with Glaucoma

Published on: January 26, 2018

对于医疗控制和不受控制的白内障初级开放角度视光眼的法哥尼切除术的结果:一个多中心研究

Yunhe Song¹, Xiangxiang Ye², Mingmin Yang³

¹State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases.

Journal of glaucoma

|May 23, 2025

概括

角膜切除术 (phacogoniotomy) 结合了乳化,眼内透镜植入和角膜切除术,有效地治疗具有白内障的初级开角玻璃眼 (POAG). 这种安全的程序显著降低了医疗控制和不受控制的POAG患者的眼内压力和药物依赖.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
白内障手术手术白内障手术

背景情况:

主要开角青光眼 (POAG) 与共存的白内障构成了外科手术的挑战.
目前的治疗方法往往涉及多种程序或药物,有效性各不相同.
发管切除术提供了一种结合的方法,可以同时解决这两种情况.

研究的目的:

为了评估法哥尼切除术 (法可乳化,眼内镜片植入,以及120度法哥尼切除术) 对白内障的POAG的疗效和安全性.
评估在医疗控制和不受控制的POAG患者中程序的结果.

主要方法:

一项多中心观察研究,涉及100名参与者 (132只眼睛) 患有POAG和白内障.
患者在基线被分为医疗控制 (IOP ≤21 mmHg) 或不受控制 (IOP>21 mmHg) 的患者.
进行了至少12个月的随访,记录眼内压力 (IOP),药物使用,并发症和视力敏度.

主要成果:

平均内血压从手术后的21.2±7.4 mmHg下降到14.7±2.9 mmHg (P <0.05).
低血压药物的平均数量从1.6±1.2减少到0.3±0.6.
在81.8%的眼睛中取得了完全的手术成功,在89.4%的眼睛中取得了合格的成功,严重并发症的发生率很低.

结论:

角切除术是一种有效和安全的手术治疗,用于治疗白内障的原发性开角绿内障.
该程序显示显著降低IOP和减少药物依赖.
无论患者的POAG.医疗控制状态如何,结果都是有利的.

关键词:

这是一个Goniotomy.最少侵入性的玻璃眼外科手术.发泡乳化法可化主要的开放角度光眼 (Glaucoma)

更多相关视频

Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents

Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents

Published on: February 15, 2022

Glaucoma-inducing Procedure in an In Vivo Rat Model and Whole-mount Retina Preparation

Glaucoma-inducing Procedure in an In Vivo Rat Model and Whole-mount Retina Preparation

Published on: March 12, 2016

相关概念视频

Open Angle Glaucoma: Treatment

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...

Angle Closure Glaucoma: Treatment

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...

Glaucoma: Overview

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...