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前段光学连贯性断层扫描和前段光学连贯性断层扫描形成眼之后的血管扫描手术:一个系统的审查

Martin Kallab¹, Alex S Huang², Matthias Bolz¹

¹Department of Ophthalmology and Optometry, Kepler University Hospital, Johannes Kepler University, Linz, Austria.

Clinical & experimental ophthalmology

|September 6, 2025

概括

前段光学连贯断层扫描 (AS-OCT) 和AS-OCT血管扫描 (AS-OCTA) 显示出在绿眼瘤手术后监测过血栓的前景. 然而,目前的临床使用因研究终点不一致和缺乏前性试验而受到限制.

科学领域:

眼科眼科
玻璃眼手术
医学成像

背景情况:

新的手术方法,包括Xen Gel Stent (XGI) 和Preserflo Microshunt (PMI),已经扩大了开角眼形成的手术选择.
这些手术旨在标准化水性幽默并降低手术风险.
对于XEN,PMI和气管切除术的有效术后管理依赖于适当的过功能.

研究的目的:

根据前段光学一致性断层扫描 (AS-OCT) 和AS-OCT血管扫描 (AS-OCTA) 的bleb参数进行文献审查和总结.
强调这些基于成像的bleb参数及其功能结果之间的关联.
评估AS-OCT和AS-OCTA在改善青光眼手术后续策略方面的潜力.

主要方法:

使用PubMed进行了系统的文献搜索,以确定相关的研究.
该研究重点是前段光学连贯断层扫描 (AS-OCT) 和AS-OCT血管扫描 (AS-OCTA),用于形成斑块的玻璃眼手术.
这些报告被分析并以结构化方式呈现.

主要成果:

总共有52个合适的报告被确定并审查.
有证据支持使用AS-OCT和AS-OCTA来评估带切除术 (TE),XGI和PMI后的血栓.
这些成像方法有助于改进术后监测和后续计划.

结论:

有大量证据支持AS-OCT和AS-OCTA在接受TE,XGI和PMI的患者的随访中的有用性.
临床实施目前受到高度变化和不切实际的研究终点的阻碍.
由于不同手术程序之间的证据无法转移,以及前性干预试验不足,限制了目前的常规使用.

关键词:

生物标志物过手术光学连贯断层扫描

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