在Preserflo MicroShunt植入后恶性绿眼病的发病率和临床特征
Yusuke Koga1, Hiroki Mieno2, Kazuhiko Mori1,3
1Department of Ophthalmology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Hirokoji-agaru, Kawaramachi-dori, Kamigyo-ku, Kyoto, 602-0841, Japan.
Japanese journal of ophthalmology
|January 14, 2026
概括
恶性玻璃眼 (MG) 是Preserflo MicroShunt (PMS) 手术后的一个罕见并发症. 患有高手术前眼内压 (IOP) 的老年患者患这种疾病的风险增加.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 医疗器械研究 医疗器械研究
背景情况:
- Preserflo MicroShunt (PMS) 植入是一种治疗青光眼的外科选择.
- 恶性玻璃眼 (MG) 是一种严重的闭角玻璃眼的形式.
- 了解新型外科设备后的并发症对于患者安全至关重要.
研究的目的:
- 为了确定 Preserflo MicroShunt (PMS) 植入后恶性绿眼病 (MG) 的发生率.
- 描述患有PMS后MG的患者的临床特征.
主要方法:
- 对957只接受PMS植入的眼睛进行了回顾性多中心队列研究.
- 分析了患者人口统计,青光眼的类型,手术前眼内压 (IOP),药物评分,轴长 (AL) 和内支架 (ISS) 的使用情况.
- 开发MG的眼睛和没有开发MG的眼睛之间的特征的比较.
主要成果:
- 恶性玻璃眼 (MG) 发生在0.42%的眼睛 (4只眼睛).
- 老年患者 (平均年龄为85.5岁) 患有更高的手术前内血压,MG更常见.
- 所有MG病例都通过手术成功治疗.
结论:
- 恶性玻璃眼 (MG) 是Preserflo MicroShunt (PMS) 植入的罕见但潜在的早期术后并发症.
- 老年和高的手术前内血压是PMS后发展MG的危险因素.
- 及时的手术治疗是有效的管理后PMS恶性玻璃眼.
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