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比较结合的斜视切除术-斜视切除术与镜辅助的透光斜视切除术作为初级先天性玻璃眼瘤的初级手术

Anand K Pathak¹, Viney Gupta, Anurag Kumar

¹Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

Indian journal of ophthalmology

|February 25, 2026

概括

阴视镜辅助的透光轨道切除术 (GATT) 显示了与初级先天性玻璃眼瘤的结合轨道切除术和轨道切除术 (CTT) 相似的外科成功. 加特提供了优越的安全性,使其成为首选的第一线手术选择.

科学领域:

眼科医生眼科眼科
儿科手术儿科手术
玻璃眼研究研究玻璃眼研究

背景情况:

初级先天性玻璃眼 (PCG) 是儿童玻璃眼的一种严重形式.
手术干预对于管理PCG和预防视力丧失至关重要.
对比不同的外科手术技术对于优化患者的治疗结果至关重要.

研究的目的:

在患有PCG的患者中,比较镜辅助透光轨道切除术 (GATT) 与结合轨道切除术和轨道切除术 (CTT) 的外科结果和安全性.
评估眼内压力 (IOP) 降低,并发症率,以及在手术后12个月需要重复手术的需要.

主要方法:

对接受GATT或CTT的轻度至中度PCG儿童进行了回顾性比较分析.
数据分析包括IOP,并发症和在多个术后时间点在麻醉下重复检查 (EUA).
通过IOP标准 (≤18 mmHg或≤15 mmHg) 定义的手术成功,有或没有药物;通过IOP>18 mmHg,<6 mmHg定义的失败,或需要进一步的手术.

主要成果:

分析了98只眼睛 (68名儿童);58人接受了CTT,40人接受了GATT.
无论是GATT还是CTT,在12个月后都表现出类似的外科成功率 (P = 0.6).
CTT组经历了明显更高的术后并发症率 (34%对20%;P = 0.02) 和需要更多的重复EUA (P = 0.05).

结论:

在轻度至中度的PCG中,GATT在手术上取得了与CTT相似的成功.
与CTT相比,GATT具有更好的安全性,并没有太多的并发症和重复程序.
建议GATT作为一种首选的第一线手术模式,用于初级先天性玻璃眼.

关键词:

结合的轨道切除术轨道切除术.经光镜辅助的透光轨道切除术 (transluminal trabeculotomy) 是一种通过光镜进行的切除术.眼内压力眼内压力儿科玻璃眼手术儿童玻璃眼手术一次性先天性玻璃眼.

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