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在具有开角玻璃眼的伪造性患者中,经过阴视镜辅助的透光轨道切除术 (GATT) 后,前部段变化

F I Sozen-Delil¹, R Donmez Gun¹

¹Department of Ophthalmology, Kartal Dr. Lütfi Kırdar City Hospital, Kartal Cevizli, D-100 Güney Yanyol, Cevizli Mevkii No: 47, 34865 Istanbul, Turkey.

Journal francais d'ophtalmologie

|December 13, 2025

概括

视镜辅助透光轨道切除术 (GATT) 显著降低了开角青光眼患者的眼内压力和药物需求. 该程序还改善了前腔的参数,但没有对视觉敏度或角膜厚度产生负面影响.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
前段成像前段成像的使用

背景情况:

开角青光眼 (OAG) 的管理旨在降低眼内压力 (IOP) 并保持视觉功能.
最少侵入性玻璃眼手术 (MIGS) 提供了传统手术的替代方案.
阴视镜辅助透光轨道切除术 (GATT) 是一种针对轨道管网的内部MIGS手术.

研究的目的:

评估视镜辅助透光尾切除术 (GATT) 对前段参数的影响.
为了评估GATT后的光变化,在患有开角玻璃眼的患者中.
为了比较GATT的术前和术后结果.

主要方法:

从19名OAG患者的21只眼睛进行了回顾性,横截面的观察性研究.
患者在2022年2月至2024年1月期间接受了至少180°GATT.
使用Sirius角膜拓图分析了前部段的参数,在手术前和手术后3个月.

主要成果:

手术后的IOP和抗葡萄糖性药物 (NAGD) 的数量显著下降 (P<0.001).
观察到前腔角 (ACA),前腔深度 (ACD) 和前腔体积 (ACV) 的显著增加 (P<0.001).
在角质测量 (K1,K2),球形等效 (SE),最佳校正视敏度 (BCVA) 或中央角膜厚度 (CCT) 中没有发现显著变化 (P>0.05).

结论:

在OAG患者中,GATT有效地降低了IOP和药物需求.
该程序增强了前腔的尺寸,包括ACA,ACD和ACV.
关于折射结果和角膜参数,GATT似乎是安全的,这表明对前段健康的潜在优势.

关键词:

在前面的房间里,前面的房间.一个开放角度的原始眼.阴视镜辅助的透光轨道切除术 (GATT)眼内压力眼内压力视角开放的玻璃眼 (Open-angle glaucoma) 是一种视角开放的玻璃眼.眼内压力眼内压力在前面的部分.西里乌斯的角膜地形图.西里乌斯·科尔尼恩 (Sirius cornéenne) 的地形形象.通过视镜辅助的透光管切除术 (GATT)

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