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穿透角质塑造术后的眼睛高血压和玻璃眼
Batuhan Aygoren1, Bora Yuksel2, Kusbeci Tuncay2
1Department of Ophthalmology, Kemalpasa Public Hospital, Izmir, Turkey.
European journal of ophthalmology
|October 28, 2025
概括
几乎一半的患者在穿透角膜整形 (PK) 后出现了眼睛高血压或青光眼. 识别风险因素和监测PK后的眼内压力 (IOP) 对于保持视力和移植清晰度至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼研究研究 玻璃眼研究
- 角膜外科手术 角膜外科手术
背景情况:
- 穿透角膜整形 (PK) 是一种常见的角膜移植手术.
- 眼内压升高 (IOP) 和玻璃眼是PK后的潜在并发症.
- 了解风险因素对于管理化术后的玻璃眼瘤至关重要.
研究的目的:
- 为了确定PK后的眼睛高血压/眼光白内障的发生率.
- 为了确定与PK后升高的内脏压力和玻璃眼相关的风险因素.
- 评估PK后眼睛高血压/光眼瘤的治疗结果.
主要方法:
- 从365名接受PK的患者中对381只眼睛进行了回顾性审查.
- 在随访期间分析眼内压力 (IOP) 值.
- 外科干预包括trabeculectomy和AGV植入用于耐火病例.
主要成果:
- 47.0%的眼睛 (179/381) 在PK后出现了眼睛高血压/眼球白内障,平均发病时间为6.3个月.
- 确定的风险因素包括接受者的年龄较大,手术前内压升高,眼睛史,先前的白内障手术,特雷芬直径不匹配,更大的捐赠者直径和额外的手术过程.
- 受影响眼睛的中期术后内血压是27.0mmHg.
结论:
- 鉴定和管理PK后眼睛高血压/眼光白内障的危险因素至关重要.
- 需要对术后IOP进行密切监测,以防止视力丧失和维持移植存活.
- 及时干预可以保持视觉功能和移植透明度.
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