在多次静脉内德克萨米他植入物注射后,用于难以治疗的眼睛高血压的阴视镜辅助透光轨道轨道切除术
Rukiye Kilic Ucgul1, Ahmet Ozan Olgun1, Zeynep Beyza Akdeniz1
1Department of Ophthalmology, Kırşehir Training and Research Hospital, Ahi Evran University, Kırşehir, Turkey.
International ophthalmology
|August 7, 2025
概括
经镜辅助的透光轨道切除术 (GATT) 在反复注射德甲植入物后有效治疗类固醇诱导的眼睛高血压 (OHT). 这种手术显著降低眼内压力,减少药物治疗的需要.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 眼睛高血压管理管理
背景情况:
- 类固醇诱导的眼睛高血压 (OHT) 是重复注射内甲植入物 (DI) 的常见并发症.
- 管理无法治疗的OHT不响应药物治疗是一个重大的临床挑战.
研究的目的:
- 评估镜辅助透光轨道切除术 (GATT) 对于类固醇诱导的OHT的疗效和安全性.
- 评估GATT对眼内压力 (IOP) 和在DI后耐火性OHT患者的药物需求的影响.
主要方法:
- 对接受GATT的类固醇诱导OHT患者的回顾性分析.
- 主要结局包括IOP降低,手术成功率 (合格和完整),以及药物使用的变化.
主要成果:
- 关贸大约显著降低了手术前的平均内血压 (33.6 mmHg) 到一个月后的13.5 mmHg,并在最后的随访时降低到14.2 mmHg (p < 0.001).
- 获得了100%的合格成功和71.4%的完全成功.
- 平均使用格劳科马药物的数量从手术后的3.1下降到0.4.
结论:
- 在多次DI注射后,GATT是治疗难治的类固醇诱导OHT的高效手术干预.
- 该程序提供显著和持续的IOP降低,减少对青光眼药物的依赖.
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