在白内障手术结合GATT或Kahook双刀切术后的折射结果和可预测性
Cláudia Gomide Vilela de Sousa Franco1, Eduardo Akio Pereira I2, Ana Cláudia Alves Pereira3,4
1Department of Ophthalmology, Federal University of Goiás, 1 stAvenue, N°741, University East Sector, Goiânia, GO, 74605-020, Brazil. claudiaoftalmo@outlook.com.
白内障手术的结果是相似的,无论是与GATT还是KDB阴茎切割相结合. 在所有手术中,折射性可预测性仍然很高,这表明单独或经过管切除术的患者的可比结果.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 生物识别仪表是如何使用的
背景情况:
- 白内障手术或发光乳化 (PHACO) 是一种恢复视力的常见手术.
- 像GATT和KDB骨干切除术这样的微创性玻璃眼外科手术 (MIGS) 技术越来越多地与PHACO相结合,以管理同时存在的玻璃眼.
- 评估这些联合手术对折射结果和生物识别可预测性的影响,对于手术规划和患者期望至关重要.
研究的目的:
- 为了比较折射结果和生物识别可预测性,标准PHACO与PHACO结合GATT或KDB骨折术.
- 评估巴雷特II套件与VERION在这些联合程序中的折射预测的准确性.
主要方法:
- 一项比较,回顾性,多中心研究分析了292只眼睛.
- 这些集团包括:PHACO (控制),PHACO + GATT (GI) 和PHACO + KDB (GII).
- 术后折射 (第60天) 与使用VERION的巴雷特II套房的预测进行了比较;分析了混因素.
主要成果:
- 在三个组中,球体,圆柱体或形轴的平均绝对变化没有发现统计学上显著的差异.
- 在所有程序中,VERION系统表现出高的生物识别可预测性.
- 角膜曲率是一个显著的预测因素 (p<0.001),但与最终球 (r2=0.11) 和纹 (r2=0.23) 有着很弱的相关性.
结论:
- 与PHACO相结合的GATT或KDB阴茎切割并不会显著改变与PHACO单独相比的折射结果或生物识别可预测性.
- VERION辅助的巴雷特II套件为标准和联合手术方法提供可靠的折射预测.
- 在所有评估的手术技术中,最终的折射结果是可比的.
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