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在ABS内部凝支架植入后,玻璃眼疏通器件和轨道切除术后,角质测量变化的比较

Kenan Bachour^1,2, Dominique Geoffrion^1,2,3, Guillaume A Mullie^1,4,5

¹Department of Ophthalmology, Université de Montréal, Montreal, Canada.

Clinical ophthalmology (Auckland, N.Z.)

|October 2, 2025

概括

这项研究比较了绿眼瘤手术后的. 与Ab Interno凝支架植入物和玻璃眼排水装置相比,轨道切除术显示出更高的形趋势.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
角质生物力学角质生物力学

背景情况:

眼外科手术的目的是降低眼内压力 (IOP) 并保持视力.
不同的外科手术技术,包括内凝支架植入 (XEN),青光眼排水装置 (GDD) 和轨道切除术 (TRAB),用于治疗青光眼.
手术后的光是影响光瘤手术后视觉结果的重要因素.

研究的目的:

为了在XEN,GDD和TRAB中比较术后的角质测量变化和手术诱导的 (SIA).
评估不同格劳科马过手术对角膜纹症的影响.
为了提供关于各种青光眼外科手术手术的性结局的见解.

主要方法:

这是一项前性,干预性,纵向性研究,涉及51只眼睛,这些眼睛患有青光眼,正在接受过手术.
参与者被分为三个组:XEN植入物 (19只眼睛),GDD (21只眼睛,包括艾哈迈德玻璃眼膜和Baerveldt玻璃眼植入物) 和轨道切除术 (11只眼睛).
在12个月后,使用Pentacam (Scheimpflug成像) 和OPD扫描 (拓图),用M-SIA和C-SIA的矢量分析测量了手术诱导的光症 (SIA). 二次结局包括最佳校正视敏度 (BCVA),内视压力,药物使用和并发症.

主要成果:

在12个月后,用断层扫描测量的中心点SIA (C-SIA) 在所有组中都是可比的 (XEN/GDD:0.3 ± 1.0 D; TRAB:0.4 ± 1.0 D).
地形测量显示,XEN的C-SIA为0.2 ± 0.9 D,GDD为0.1 ± 0.9 D,TRAB为0.6 ± 1.7 D. 这两种测量均为0.2 ± 0.9 D.
与XEN (27%) 和GDD (48%) 组相比,轨道切除术显示,眼睛高于1D的眼睛比例 (73%) 的趋势较高. 在12个月后,TRAB组的平均气值更高.

结论:

当用断层扫描测量时,通过手术诱导的纹症在所有手术组中都是相似的.
拓测量表明,与XEN和GDD相比,trabeculectomy的SIA趋势更大.
轨道切除术可能会导致更高的术后标,这表明12个月后更高的平均气值.

关键词:

角膜角膜角膜是一个玻璃眼 glaucoma 玻璃眼玻璃眼玻璃眼玻璃眼肌肉测量变化的变化通过手术诱导的形.

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