相关实验视频

Updated: Mar 10, 2026

Iris Fixation via External Pentagram Suturing

Iris Fixation via External Pentagram Suturing

Published on: May 5, 2022

与KDB结合的发酵乳化疗法的比较有效性结合KDB结合的结石切除术与用于原发性闭角玻璃眼的轨道切除术:一项回顾性队列研究

Xu Hou¹, Jing Wu¹, Xiaxia Yang¹

¹Eye Institute of Chinese PLA and Department of Ophthalmology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China.

International journal of medical sciences

|March 9, 2026

概括

化与Kahook双刃切除术 (phaco-KDB) 和切除术 (phaco-trab) 结合,为中度至严重的初级闭角光眼 (PACG) 提供了可比的结果. 帕科-KDB提供了一种具有类似功效和安全性概况的最小侵入性选择.

科学领域:

眼科医生眼科眼科
玻璃眼的手术玻璃眼的手术
白内障手术手术白内障手术

背景情况:

与白内障并发的初级闭角玻璃眼 (PACG) 需要有效的手术干预.
中度至重度的PACG患者通常需要多种药物来控制眼内压力 (IOP).
瘤切除术 (phaco-trab) 是PACG的一种标准手术方法.

研究的目的:

为了比较法科特拉布切除术 (phaco-trab) 与法科乳化结合卡胡克双刀切除术 (phaco-KDB) 的疗效和安全性.
为了评估中度至重度PACG和并发性白内障患者的结果.
评估视力敏度,内视压力,药物使用和视野进展的变化.

主要方法:

一个单一的中心,非随机的回顾性队列研究.
包括来自74名PACG患者的77只眼睛,视野有中度至严重的视野缺陷和大量药物使用.
关于最佳校正视敏度 (BCVA),IOP,药物使用和并发症的phaco-trab (40只眼睛) 和phaco-KDB (37只眼睛) 的比较.

主要成果:

这两种手术都显示了术后BCVA的改善,没有显著的跨组差异.
眼内压力 (IOP) 在两组都显著下降,而phaco-trab最终的眼内压力略低 (15.64 mmHg与17.55 mmHg).
合格的成功率相似 (87.5%为phaco-trab vs. 83.8%为phaco-KDB),没有显著的视野进展或严重的并发症.

结论:

科-KDB是一种可行的替代法科-特拉布适度至严重的PACG与并发性白内障.
科-KDB的最小侵入性可能在简化程序和视觉康复方面提供优势.
这两种手术技术都有效地降低了内视压力,改善了视力敏度,并在研究患者群体中稳定了视野.

关键词:

这是一个Goniotomy.最少侵入性的玻璃眼外科手术.发泡化法可化主角闭合玻璃眼玻璃眼形切除术 (trabeculectomy) 是一种治疗方法.

更多相关视频

Glaucoma-inducing Procedure in an In Vivo Rat Model and Whole-mount Retina Preparation

Glaucoma-inducing Procedure in an In Vivo Rat Model and Whole-mount Retina Preparation

Published on: March 12, 2016

Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents

Full-Circle Cauterization of Limbal Vascular Plexus for Surgically Induced Glaucoma in Rodents

Published on: February 15, 2022

相关概念视频

Angle Closure Glaucoma: Treatment

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...

Open Angle Glaucoma: Treatment

Open Angle Glaucoma: Treatment

In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...

Glaucoma: Overview

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...