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一个非随机的,与iStent注射W和OMNI手术系统联合发泡乳液的比较案例系列

Ethan Wen Wei Tiong¹, Aysha Salam², Navanandhanan Pradeesh¹

¹School of Medical Sciences, University of Manchester, Manchester, UK; Chorley and South Ribble Hospitals, Lancashire Teaching Hospitals NHS Trust, Lancashire, UK.

Ophthalmology. Glaucoma

|November 30, 2025

概括

加上iStent注射W或OMNI手术系统 (用镜辅助的透光轨道切除术 - GATT) 的法乳化有效降低了青光眼患者的眼内压力 (IOP) 和药物使用. 注射的iStent W显示出更好的安全性,而OMNI提供了更高的无药IOP降低率.

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 (MIGS)

背景情况:

玻璃眼的治疗通常需要降低眼内压力 (IOP),以防止视神经受损.
与MIGS结合的发泡乳化为治疗白内障和绿内障提供了一种双重方法.
评估不同的MIGS设备和视镜辅助的透光轨道切除术 (GATT) 程度对于优化结果至关重要.

研究的目的:

为了比较与iStent注射W相结合的发泡乳化疗法的疗效和安全性,与OMNI手术系统相比.
在与OMNI系统相结合时,评估不同程度的视镜辅助透光管切除术 (GATT) (180°与>180°-360°) 的影响.
评估眼内压力 (IOP) 降低,药物使用和并发症率.

主要方法:

一个单一的中心,回顾性,非随机的比较队列研究.
包括250名患者的294只眼睛,这些患者接受了iStent注射W或OMNI手术系统 (具有180°或>180°-360°GATT) 的化.
成功被定义为没有药物,内血压降低20%或12个月内内血压≤18 mmHg.

主要成果:

所有组都显示出显著的IOP和药物减少 (p < 0.0014).
在phaco-iStent,phaco-OMNI与180°GATT (phaco-OG180),和phaco-OMNI与>180°-360°GATT (phaco-OG360) 之间,总体成功率没有显著差异.
与phaco-OG180和phaco-OG360相比,phaco-iStent的并发症 (微型血,分层血) 较少.

结论:

与iStent注射W或OMNI手术系统相结合的发酵化有效地减少了IOP和药物负担.
iStent注射W显示出一个优越的安全性.
欧姆尼手术系统可能提供更高的无药IOP减轻率,在180°和360°GATT之间具有相似的结果.

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