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微脉冲循环光凝与连续波循环光凝:一个元分析

Johar Abbas¹, Ghadeer Mohammed Abbas², Muhammad Maaz³

¹Al-Shifa Trust Eye Hospital, Rawalpindi, Pakistan.

Journal of glaucoma

|December 16, 2025

概括

持续循环光凝血 (CW-CPC) 在患有青光眼的儿童中提供了比微脉冲循环光凝血 (MP-CPC) 更持久的眼内压力 (IOP) 降低. CW-CPC表现出优异的长期内减轻,使其成为更有效的外科选择.

科学领域:

眼科医生眼科眼科
手术干预手术干预
儿科玻璃眼治疗的管理方法

背景情况:

微脉冲环光凝血 (MP-CPC) 和连续波环光凝血 (CW-CPC) 是对儿科玻璃眼的手术治疗方法.
关于MP-CPC与CW-CPC的比较疗效存在相互矛盾的数据.

研究的目的:

系统地审查和对比MP-CPC和CW-CPC对儿科玻璃眼的研究进行元分析.
评估MP-CPC与CW-CPC在降低眼内压力 (IOP) 的有效性.

主要方法:

在2025年3月之前,对主要数据库 (PubMed,Embase,Scopus,Cochrane Library,ScienceDirect) 进行系统的文献搜索.
包括比较MP-CPC和CW-CPC在儿科绿内障患者中报告IOP的研究.
随机效应模型对不同时间点IOP降低的元分析.

主要成果:

CW-CPC在12个月 (MD: -6.88 mmHg) 和总体上在最后一次随访时 (MD: -4.23 mmHg) 显示出比MP-CPC显著更大的IOP降低.
在CW-CPC和MP-CPC之间在1,3个月和6个月后没有观察到IOP降低的显著差异.
在整体分析中发现了很高的异质性 (I2=80%).

结论:

与MP-CPC相比,CW-CPC在儿科玻璃眼管理中提供了更持久的IOP降低.
在患有青光眼的儿童中,CW-CPC对IOP控制具有优越的长期疗效.
这些发现支持CW-CPC作为持续降低内血压的首选手术选择.

关键词:

连续的循环光凝固.眼内压力眼内压力微脉冲循环光凝固的微脉冲.儿科玻璃眼儿童玻璃眼

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