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在晚期青光眼中,法可-内循环光凝与法可-囊切除:一个试点研究

Vanita Pathak-Ray¹, Kushal Goud Taduri²

¹Director Glaucoma and Senior Consultant Glaucoma and Cataract Specialist, Centre for Sight, Banjara Hills, Hyderabad, Telangana, India.

Indian journal of ophthalmology

|February 25, 2026

概括

在先进的原发性玻璃眼瘤中,法可-内循环光凝 (ECP) 提供了一个比法可-轨道管切除术更安全,更有效的替代方案. 这种微创视野瘤手术 (MIGS) 方法显示了可比的内视压力降低和视力敏度的改善.

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:

先进的原发性玻璃眼需要有效的外科治疗.
发管切除术 (PT) 是目前的黄金标准治疗方法.
最少侵入性玻璃眼手术 (MIGS) 提供了潜在的优势.

研究的目的:

在先进的初级玻璃眼瘤中,比较法可-内循环光凝固 (ECP) 与法可-轨道管切除术 (PT) 的安全性和有效性.
评估眼内压力 (IOP) 降低,药物使用,视力敏度和并发症.

主要方法:

这是一项回顾性研究,比较了30岁以上的高级原发性玻璃眼瘤患者的phaco-ECP (28眼) 和PT (24眼).
主要结果: IOP. 二次结果:抗光眼药物 (AGM),最佳校正视敏度 (BCVA),成功率,并发症和干预措施.
平均随访时间:法科-ECP18个月,PT16个月.

主要成果:

法科-ECP和PT都显著降低了IOP (p=.667) 和AGM (p=.624).
与PT (p=.05) 相比,法科-ECP在BCVA (p=.04) 中显著改善,并发症和干预措施较少.
在这两组中都没有出现危及视力的并发症或视力丧失;PT有两次失败.

结论:

科-ECP是一种潜在的有效和更安全的替代PT在先进的原发性青光瘤.
法科-ECP提供了改进的BCVA和减少对干预的需求.
建议进行更长的随访时间的大型研究来证实这些发现.

关键词:

晚期的玻璃眼瘤是什么?在 ECP ECP 中,您可以在 ECP 中使用 ECP.这就是MIGS.细胞内循环摄影凝血.最少侵入性的玻璃眼外科手术.这里是法科 (phaco) 的所在地.科-ECP可以使用.在法科-特拉布.主要的玻璃眼 glaucoma 是一个主要的玻璃眼.形切除术 (trabeculectomy) 是一种治疗方法.

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