帕斯普拉纳视切除术对早期和长期眼内压力及其决定因素的影响
Ana Faria Pereira1, Pedro Marques-Couto2, Rita Teixeira-Martins1
1Department of Ophthalmology, Unidade Local de Saúde São João, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.
Scientific reports
|August 6, 2025
概括
帕斯普拉纳视切除术 (PPV) 可以导致持续的眼内压力 (IOP) 升高和眼睛高血压 (OH). 视网膜脱落和同眼IOP是关键的危险因素,需要在PPV后进行长期监测.
科学领域:
- 眼科医生 眼科 眼科
- 外科手术的结果
- 玻璃眼研究研究 玻璃眼研究
背景情况:
- 帕斯普拉纳视切除术 (PPV) 是一种常见的眼内外科手术.
- 手术后的眼内压力 (IOP) 变化和眼睛高血压 (OH) 需要仔细评估.
- 了解PPV后OH的风险因素对于患者管理至关重要.
研究的目的:
- 评估眼内压力 (IOP) 变化和帕斯普拉纳视切除术 (PPV) 后眼高血压 (OH) 的发生率.
- 确定与PPV后OH相关的短期和长期结果和风险因素.
- 评估PPV对持续的IOP升高和随后的玻璃眼瘤发展的影响.
主要方法:
- 对216名患者 (432只眼睛) 进行了回顾性研究,这些患者接受了初级单边PPV.
- 在手术前,3个月后和最后的随访 (中位数为28个月) 时分析的IOP测量.
- 用于评估OH的基线和手术内风险因素的队列和匹配的病例控制设计.
主要成果:
- 早期和晚期OH分别发生在28.2%和15.3%的玻璃切除眼睛中.
- 视网膜脱落 (RD) 显著增加了早期OH风险 (OR 4.16).
- 在同伴眼中的更高的手术前内血压预测了早期 (OR 1.17) 和晚期OH (OR 1.18).
- 玻璃切除眼睛显示在手术后持续较高的内血压;在同眼睛的6.5%对1.4%的患者中,绿眼病发生.
结论:
- PPV与持续的内血压升高和眼睛高血压风险增加有关.
- 视网膜脱落和同眼IOP是PPV后OH的重要预测因素.
- 长期的IOP监测对于预防青光瘤至关重要,特别是在PPV后的高风险患者中.
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