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在患有开角玻璃眼的患者中,用阴视镜辅助的透光椎切除术与曲的AB内部针切除术相比

Ahmet Yücel Üçgül¹, Rukiye Kılıç Üçgül¹, Zeynep Aktaş²

¹Kırşehir Ahi Evran University, Training and Research Hospital, Department of Ophthalmology, Kırşehir, Türkiye.

Turkish journal of ophthalmology

|June 25, 2025

概括

与曲腹内针淋巴切除术 (BANG) 相比,淋巴切除术辅助的透光通道管切除术 (GATT) 提供了优异的眼内压力 (IOP) 降低和长期的成功,用于开角眼光病 (OAG). 对于管理OAG而言,GATT是一个更可靠的外科选择.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
最少侵入性玻璃眼外科手术 (MIGS)

背景情况:

开角光眼 (OAG) 是全球不可逆转失明的主要原因.
有效的眼内压力 (IOP) 管理对于预防眼性视神经损伤至关重要.
当医疗治疗无法控制内血压时,外科干预通常是必要的.

研究的目的:

为了比较视镜辅助的透光管切除术 (GATT) 与曲腹内针管切除术 (BANG) 的疗效和安全性.
评估OAG患者中GATT和BANG的IOP降低和成功率.
评估GATT和BANG手术后的并发症概况和进一步手术的需要.

主要方法:

追溯性对65个眼睛进行的比较研究,其中OAG接受了GATT (34只眼睛) 或BANG (31只眼睛).
眼内压力 (IOP) 在基线和随访时通过戈德曼平面化度测量.
成功被定义为合格 (IOP ≤21 mmHg与≥20%的减少) 和完整 (没有药物的相同标准).

主要成果:

手术前的内压平均值是相似的 (GATT: 32.9±6.1 mmHg; BANG: 31.8±5.4 mmHg).
与BANG (17.9±5.7 mmHg,43.7%的减少) 相比,GATT (15.8±4.5 mmHg,51.9%的减少) 的最终平均IOP减少更大.
全面成功率在GATT (88.2%) 显著高于BANG (61.3%),早期失败较少,但在GATT中观察到的后期失败.

结论:

在OAG管理中,视镜辅助的透光管切除术 (GATT) 与曲腹内针切除术 (BANG) 相比,表现出优越的内脏压力降低效果和持续的成功.
在GATT中提出了一种更可靠的外科手术选择,以实现长期IOP控制在开角眼中.
这两种手术都出现了最小的并发症,过渡性低血是最常见的不良事件.

关键词:

视角开放的玻璃眼 (Open-angle glaucoma) 是一种视角开放的玻璃眼.曲的腹部内部针淋巴切除术经光镜辅助的透光轨道切除术 (transluminal trabeculotomy) 是一种通过光镜进行的切除术.

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