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在活性流体系统的法化中,IOP-20和IOP-50之间的术后结果的比较:随机单盲试验

Chandrashekhar M Wavikar¹, Mamta N Tanna¹, Gargi C Wavikar²

¹Department of Ophthalmology, Wavikars Eye Hospital and Wavikar Eye Institute, Thane, Maharashtra, India.

Clinical ophthalmology (Auckland, N.Z.)

|October 6, 2025

概括

使用CENTURION视觉系统与ACTIVE SENTRY在20mmHg眼内压力 (IOP) 的白内障手术需要比50mmHg更少的激增缓解. 这表明20mmHg提供了一个稳定的外科环境.

科学领域:

眼科医生眼科眼科
手术技术手术技术
角质科学角质科学

背景情况:

白内障手术是恢复视力的常见手术.
在手术期间保持稳定的眼内压 (IOP) 对患者的治疗结果至关重要.
具有ACTIVE SENTRY的Centurion视觉系统为白内障手术提供了先进的流体.

研究的目的:

为了比较中枢角膜厚度 (CCT),缓解事件,术后视力和白内障手术中的并发症.
评估两种眼内压 (IOP) 设置 (20 mmHg vs. 50 mmHg) 的安全性和有效性,使用带有ACTIVE SENTRY的Centurion视觉系统.
确定IOP对手术稳定性和患者结果的影响.

主要方法:

一项前性,随机的,单盲的干预研究,涉及107只眼睛.
患者被分配到IOP-20组 (n=55) 或IOP-50组 (n=52).
使用CENTURION视觉系统与ACTIVE SENTRY进行了化,IOP设置为20mmHg或50mmHg.

主要成果:

在IOP-20和IOP-50组之间,在基线或手术后的中枢角膜厚度 (CCT) 中没有观察到统计学上显著的差异.
手术后90天内皮细胞密度 (ECD) 在两组之间没有显著差异.
与IOP-20组相比,IOP-50组中的眼睛比例显著更高 (77%) 需要积极的激增缓解 (22%) (p<0.001).

结论:

在20 mmHg IOP下使用活性流体系统的法乳化提供了安全稳定的外科环境.
较低的IOP设置 (20 mmHg) 可以减少在白内障手术期间进行手术内激增缓解的需要.
带有ACTIVE SENTRY的Centurion视觉系统有效地管理白内障手术期间的内压,其20 mmHg可提供增强的稳定性.

关键词:

在IOP-20中,我们可以使用IOP-20.IOP-50 是一种常见的.活跃流体系统的流体系统.有效性有效性.在安全方面,安全是安全的.

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