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在一次性玻璃眼瘤中,Bent ab-interno针状淋巴切除术与发泡乳化的一年结果
Sushmita Kaushik1, Ashok K Singh, Faisal Thattaruthody
1Department of Ophthalmology, Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian journal of ophthalmology
|July 28, 2025
概括
曲腹内针淋巴切除术 (BANG) 与白内障手术相结合,有效降低了患者对青光眼的药物治疗需求和眼内压力. 这种安全的手术提供了一个有前途的选择,用于管理整个光谱的玻璃眼.
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:
- 青光眼的管理通常需要多种药物来控制眼内压力 (IOP).
- 白内障手术经常在患有同时存在的玻璃眼瘤的患者中进行.
- 减少药物负担是治疗青光眼的关键目标.
研究的目的:
- 为了评估曲腹内针性淋巴切除术 (BANG) 结合法化的一年后的结果.
- 评估BANG对绿眼病患者的药物需求和IOP的影响.
- 为了确定这种联合手术方法的安全性和有效性.
主要方法:
- 展望性,非比较性干预研究.
- 招募了患有白内障的初级开角和闭角玻璃眼患者.
- 结合透明的角膜发酵与眼内透镜放置和使用修改的25度针的BANG.
- 在手术后1年分析了结果.
主要成果:
- 局部抗瘤药物 (AGM) 的需求显著下降,从1年后的平均值2.6降至0.87 (P < 0.0001).
- 平均内血压显示下降趋势,尽管在1年内没有统计学意义 (15.3 mmHg基线与1年后的14.43 mmHg).
- 没有患者需要手术后口服乙胺;14只眼睛在1年内取得了完全成功,14只眼睛在1年内取得了合格的成功.
结论:
- 使用BANG的法化是一种有效和安全的程序.
- 联合手术显著减少了初级玻璃眼患者的药物负担.
- 班格提供了一种有价值的外科手术选择,用于治疗青光眼.
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