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经过微脉冲循环光凝失败后缓慢凝血循环光凝的疗效在耐火性玻璃眼中

Baltaj S Sandhur¹, Mohit Jethi², Natasha Gautam^2,3

¹Department of Ophthalmology, Jacobs School of Medicine and Biomedical Sciences, Buffalo, United States. baltajsa@buffalo.edu.

Lasers in medical science

|September 20, 2025

概括

慢凝血连续波循环光凝血 (SC-CWCPC) 在MicroPulse跨质循环光凝血 (MP-TSCPC) 失败后有效治疗耐火玻璃眼. 这种安全的干预措施显著降低了青光眼患者的眼内压力和药物使用.

科学领域:

眼科医生眼科眼科
青光眼治疗方法青光眼治疗方法
手术干预手术干预

背景情况:

耐火性玻璃眼是一个挑战,通常需要多次干预.
微脉冲跨细胞循环光凝血 (MP-TSCPC) 是一种治疗选择,但其失败需要使用其他策略.
在MP-TSCPC失效后,慢凝血连续波环光凝血 (SC-CWCPC) 的疗效尚未得到充分证实.

研究的目的:

评估SC-CWCPC在失控眼内压 (IOP) 患者的疗效和安全性,其结果是MP-TSCPC程序失败.
为了确定SC-CWCPC在治疗耐火玻璃眼的成功率.
评估SC-CWCPC对MP-TSCPC失败后IOP和药物要求的影响.

主要方法:

在MP-TSCPC失败后接受SC-CWCPC的患者的回顾性病例系列.
在2022年1月至2024年10月期间由单个青光眼外科医生进行的手术.
通过IOP定义的手术成功在6-21mmHg之间,≥20%的IOP降低,没有重新手术,并保持光感知视力.

主要成果:

包括8名患者 (10只眼睛),平均年龄为43.75岁.
在SC-CWCPC (p=0.002) 后,在3.1种药物下,手术前的IOP为26.10 mmHg降至15.80 mmHg (p=0.002).
达到了80%的成功率,平均随访时间为10.97个月;没有显著的视力丧失或视力下降.

结论:

SC-CWCPC 是一种有效和安全的治疗方法,用于那些已经失败了MP-TSCPC的耐火性玻璃眼患者.
这种技术扩大了用于管理复杂的玻璃眼病例的手术选择.
当其他方法没有成功时,SC-CWCPC为IOP控制提供了一个可行的解决方案.

关键词:

眼内压力 (IOP) 是指眼内压力.色素 (英语:Iridex) 是一种色素.微脉冲的跨细胞循环光凝血 (MP-TSCPC)耐火性玻璃眼 (Glaucoma) 是一种耐火性玻璃眼.慢凝固连续波循环光凝固 (SC-CWCPC) 方法

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