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在巴尔维尔特眼植入手术和轨道切除术之间对手术诱导的白症进行比较:一项回顾性队列研究

Kengo Tanaka¹, Kentaro Iwasaki¹, Shogo Arimura¹

¹Department of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Fukui 910-1193, Japan.

Journal of clinical medicine

|February 27, 2026

概括

贝尔维尔特玻璃眼植入体 (BGI) 手术导致的手术诱导的光症 (SIA) 比带切除术更大. 诸如手术类型,年龄和基线纹等因素可以预测术后的SIA.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
Corneal Astigmatism 角质纹症角质纹症是指角质纹症是指角质纹

背景情况:

玻璃眼是导致不可逆转失明的主要原因.
手术干预,如贝尔维尔特玻璃眼植入物 (BGI) 和带切除术是常见的治疗方法.
手术诱导的白 (SIA) 是一种可能影响视觉结果的并发症.

研究的目的:

为了比较BGI手术和气管切除术之间的SIA.
为了确定影响SIA的预后因素在这些青光眼手术后.

主要方法:

对109只眼睛 (BGI) 和229只眼睛 (轨道切除术) 的回顾性队列研究.
在手术前和手术后6个月测量角膜形.
计算平均SIA (M-SIA) 和中心点SIA;进行多变量回归分析.

主要成果:

相比之下,BGI手术导致M-SIA (1.41 D) 的显著增加,而trabeculectomy (0.94 D) 的显著增加.
BGI手术和下部手术前的纹是增加M-SIA的独立预测因素.
高龄和较低的手术前纹预测了BGI组中较大的M-SIA.

结论:

BGI手术与较大和更可变的SIA相比,带切除术是相关的.
手术类型,基线标和患者年龄是术后SIA的关键预测因素.
这些发现有助于患者的选择和管理视觉期望在眼外科手术后.

关键词:

贝尔维尔特的玻璃眼植入物可能是玻璃眼.过 Bleb 的过方法测角质量测量 (keratometry) 是一种测角质量测量.通过手术诱导的形.形切除术 (trabeculectomy) 是一种治疗方法.矢量分析是一种矢量分析.

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