在 hemi-GATT 期间,状眼网带剥离后,眼内压力升
Mehmet Murat Uzel1, Ali Mert Koçer2, Bekir Eren Aksoy2
1Ankara Ulucanlar Eye Research and Training Hospital, Health Science University, Ankara, 06250, Turkey. mehmetmurat.uzel@sbu.edu.tr.
概括
在 hemi-gonioscopy-assisted 透光轨道切除术 (hemi-GATT) 期间的轨道眼网带剥离 (TP) 显著降低了早期的术后眼内压力 (IOP) 峰值. 这种技术可以增强早期的内膜炎控制,而不会影响格洛科马患者的整体手术成功.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 眼内压力管理 眼内压力管理
背景情况:
- 青光眼的治疗通常需要手术来降低眼内压力 (IOP).
- Hemi-gonioscopy-assisted transluminal trabeculotomy (hemi-GATT) 是一种微创的玻璃眼手术. 这是一种微创的玻璃眼手术.
- 手术后的IOP峰值可能会使光眼瘤手术后的恢复复杂化.
研究的目的:
- 评估在 hemi-GATT 期间的状状状网带剥离 (TP) 对早期手术后内皮炎尖峰的影响.
- 为了评估TP对手术成功率的影响后的 hemi-GATT.
- 在接受 hemi-GATT 的患者中确定早期术后内血压尖峰的预测因子.
主要方法:
- 追溯分析42个眼睛的初级开角或伪皮绿内障.
- 使用TP的hemi-GATT (n=14) 与没有TP的标准hemi-GATT (n=28) 的比较.
- IOP尖峰的定义是IOP>30 mm Hg或增加≥10 mm Hg;手术成功定义为IOP ≤21 mm Hg与≥30%的减少.
主要成果:
- 在26%的眼睛中出现了早期的术后IOP尖峰,在hemigATT + TP组的频率较低 (7.1%对35.7%,p=0.048).
- TP与IOP尖峰风险降低有关 (OR,0.01;p=0.014),而较高的基线IOP增加了风险 (OR,1.48;p=0.013).
- 合格和完整的手术成功率在两组之间是相似的 (分别为92.9% vs. 89.3%和42.9% vs. 35.7%).
结论:
- 在 hemi-GATT 期间脱皮的状状状网带显著降低了早期术后 IOP 峰值的发生率.
- 在 hemi-GATT 之后,TP 增强了早期 IOP 控制.
- 将TP添加到 hemi-GATT 中保持了有利的外科手术成功率.
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