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对白内障和绿内障同时存在的法科-囊切除术与MSICS-囊切除术:尼日利亚一项随机试验的视觉和IOP结果

Melchizedek Ignatius Munaje¹, Olufisayo Temitayo Aribaba^2,3, Mayor Orezime Atima^4,5

¹ECWA Eye Hospital, Kano, Kano State, Nigeria. munaj452@gmail.com.

BMC ophthalmology

|November 5, 2025

概括

形切除术 (PHACO-Trab) 和带有形切除术的手动小切割白内障手术 (MSICS-Trab) 在白内障和绿内障同时存在的患者中改善视力和降低眼内压 (IOP). PHACO-Trab提供了更好的折射结果和更少的并发症.

科学领域:

眼科医生眼科眼科
手术创新在外科创新.
视光眼管理视光眼管理

背景情况:

白内障和绿内障经常同时存在,这给实现最佳视觉和眼内压力 (IOP) 结果带来了手术挑战.
这项研究涉及两种手术技术的临床比较,用于管理这些同时存在的疾病.

研究的目的:

为了比较发切除术 (PHACO-Trab) 与手动小切割白内障手术与切除术 (MSICS-Trab) 的临床结果.
为了评估同时存在白内障和原发性开角绿内障的患者的视力敏度,内缩减和并发症率.

主要方法:

一个前性,随机的,单面膜临床试验,涉及200只眼睛,同时存在白内障和初级开角绿内障.
患者被分配到PHACO-Trab或MSICS-Trab,其中151只眼睛完成了24周的随访.
主要结局是IOP变化;次要结局包括最佳校正视敏度 (BCVA),并发症和药物减少.

主要成果:

这两种手术都显著改善了BCVA和降低了IOP,完全手术成功率没有显著差异 (71.4%和70.3%).
MSICS-Trab显示了较高的低血压,后囊变暗和手术诱导的纹症.
PHACO-Trab显示出优异的折射结果,更多的眼睛实现了目标折射.

结论:

无论是PHACO-Trab还是MSICS-Trab都有效地改善了白内障和绿内障同时存在的患者的视觉和IOP结果.
在折射结果和并发症概况方面,PHACO-Trab具有优势,而MSICS-Trab则是一个具有成本效益的选择.
手术选择应根据患者因素,外科医生的专业知识和可用的资源进行个性化选择;需要进一步的长期研究.

关键词:

眼内压力控制器眼内压力控制器手动小切口白内障手术手术通过法科-形切除术.主要的开放角光眼.视力敏度的结果

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