临床结局的比较 坦尼托Microhook的Traneculotomy与白内障手术结合的原始和Shoji版本之间的临床结果
Takuhei Shoji1,2, Takashi Nishida1,3, Masaki Tanito4
1Koedo Eye Institute, 15-13 Wakitahoncho, Kawagoe, Saitama, Japan.
坦尼托的微穿孔切除术 (TMH) 装置,无论是原始版本还是Shoji版本,在与开角玻璃眼的白内障手术相结合时,显示出相似的安全性和有效性. 这两种TMH版本在两年内提供了相似的手术成功率和内压减轻.
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:
- 坦尼托的微形眼镜 (TMH) 是一款经FDA批准的,可重复使用的设备,用于治疗开角眼镜.
- 现有两种版本的TMH:原版和Shoji版,后者具有人体工程学方面的改进.
- TMH通常与白内障手术 (光乳化和眼内透镜植入) 一起进行.
研究的目的:
- 为了比较原始TMH与Shoji版本TMH的临床疗效和安全性.
- 两种TMH版本都在与发酵乳和眼内透镜植入相结合时进行了评估.
- 这项研究的重点是诊断为开角玻璃眼的患者.
主要方法:
- 一项追溯匹配队列研究,涉及518只眼睛 (259个原始TMH,259个ShojiTMH).
- 患者根据年龄,性别,青光眼瘤类型,眼内压力 (IOP) 起始值,视野状态和药物数量进行匹配.
- 手术成功是根据美国眼科学会对MIGS与白内障手术相结合的标准在2年内定义的;IOP,药物使用和并发症也被评估.
主要成果:
- 在24个月后,手术成功率为原始TMH的32.0%和ShojiTMH的44.2%,两组之间没有统计学上显著的差异 (log-rank P=1.000).
- 两组均显示,从基线来看,平均IOP和青光眼药物需求显著减少.
- 手术后并发症很少发生,在原始和ShojiTMH组之间是相似的.
结论:
- 无论是原始版本还是Shoji版本的TMH斜视切除术,当与白内障手术相结合时,都能提供可接受的中期手术成功和安全.
- 在两年内,两种TMH版本之间没有观察到临床结果的显著差异.
- 肖吉版的设计可能提供了可用性优势,但这两种版本都适合常规的玻璃眼病护理.
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