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对部分和完整的阴影镜辅助透光轨道切除术之间的疗效和安全性的比较分析,用于开角玻璃眼的玻璃眼

Murat Gunay¹, Adem Turk¹, Irem Berfu Bozat¹

¹Department of Ophthalmology, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey.

Acta ophthalmologica

|September 30, 2025

概括

部分视镜辅助透光轨道切除术 (GATT) 的疗效和安全性可比于对开角青光眼的360°GATT进行完全切除术. 对于某些患者来说,Hemi-GATT是一个可行的,节省时间的替代方案.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
最少侵入性玻璃眼外科手术

背景情况:

开角玻璃眼 (OAG) 的管理通常需要手术来降低眼内压力 (IOP).
阴视镜辅助的透光轨道切除术 (GATT) 是一种有效的MIGS手术.
比较部分和完整的GATT对于优化外科手术策略至关重要.

研究的目的:

为了比较部分GATT (180°,270°) 与完整的360°GATT的外科疗效和安全性.
评估结果,包括IOP降低,药物使用和并发症.

主要方法:

追溯研究206眼睛与POAG或PEXG经过部分或全部的GATT.
至少12个月的随访时间.
通过IOP标准 (<18,<15,或<12 mmHg) 定义的成功,减少≥30%.

主要成果:

所有GATT变种都显著降低了IOP和药物负担 (p<0.001).
在IOP,BCVA,成功率或部分和完整的GATT组之间没有显著差异 (p>0.05).
观察到类似的脑膜静脉液波幅和安全性.

结论:

部分GATT (180°,270°) 显示了可比的外科结果和安全性,以完成360°GATT.
对于合适的OAG患者来说,Hemi-GATT (部分) 是环形GATT的有效和时间效率高的替代方案.

关键词:

完整的完整的完整的完整的脊柱垂体静脉流体的波浪是表皮层静脉流体.尼奥斯科比 (Gonioscopy) 是一种用于检查骨的方法.结果结果结果结果.部分部分的部分部分的部分.通过trabeculotomy进行形切除.

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