Clinical Hospital of the Office of the President of the Russian Federation, Moscow, Russian Federation

Oftal''mokhirurgiia Pub Date : 2023-10-20 DOI:10.25276/0235-4160-2023-3-57-64

I.E. Ioshin, A.V. Rakova, I.V. Maksimov, E.A. Berezenko

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引用次数: 0

Abstract

Purpose. To evaluate the safety and efficacy of different laser energy parameters when performing micropulse transscleral cyclophotocoagulation (MP-TSCPC) in patients with different stages of primary open-angle glaucoma (POAG). Material and methods. 177 patients with moderate (47) and advanced (130) stages of primary open-angle glaucoma were under observation. All patients underwent repeated laser (mean 1,3±0,6) and surgical (mean 1,78±0,7) penetrating and nonpenetrating antiglaucoma surgeries. According to the amount of total energy during MP-TSCPC, patients were divided into 2 groups. The protocol of the first group (117 patients) included a total energy of 125J, fluence of 121,8 J/cm² . The protocol of the second group included increased energy (60 patients) where the total energy was 150 J, fluence 152 J/cm² . Results. Surgery and postoperative period in all patients were areactive. According to the data obtained when comparing the two groups on Kaplan – Meier chart, after 12 months of observation the group of patients with the fluence of 152J/cm² showed better results. A positive result was achieved in 95% of cases, compared to 87,1% in patients in the first group with an fluence of 121,8 J/cm². Conclusion. MP-TSCPC in patients with POAG with a fluence of 121,8 J/сm² and a total energy of 125 J and a fluence of 152 J/сm² and a total energy of 150 J is an effective and safe treatment method. The success parameters evaluated according to the Kaplan – Meier criterion showed that performing MP-TSCPC with 150 J energy was more effective than with 125 J. In the first group, 87,1% (102 out of 117 patients) success was achieved in up to 12 months of follow-up. In 60 patients with a higher energy (150 J), MP-TSCPC resulted in a long-term hypotensive effect in 95% (57 out of 60 patients) in the same period of observation. Key words: open angle glaucoma, intraocular pressure, micropulse cyclophotocoagulation, fluence

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俄罗斯联邦总统办公室临床医院，莫斯科，俄罗斯联邦

目的。评价不同激光能量参数对不同分期原发性开角型青光眼(POAG)患者进行微脉冲经巩膜光凝治疗(MP-TSCPC)的安全性和有效性。材料和方法。对177例中度(47例)和晚期(130例)原发性开角型青光眼患者进行了观察。所有患者均接受了多次激光(平均1,3±0,6)和手术(平均1,78±0,7)穿透性和非穿透性抗青光眼手术。根据MP-TSCPC过程中总能量的多少，将患者分为两组。第一组(117例)的方案包括总能量125J，影响128,8 J/cm²。第二组方案包括增加能量(60例)，其中总能量为150 J，影响152 J/cm²。结果。所有患者手术及术后均有反应。Kaplan - Meier图对比两组数据显示，经过12个月的观察，152J/cm²的患者效果更好。95%的病例获得阳性结果，而第一组患者的阳性结果为87.1%，影响为121.8 J/cm²。结论。MP-TSCPC对POAG患者的影响为121,8 J/ m²，总能量为125 J，影响为152 J/ m²，总能量为150 J，是一种有效、安全的治疗方法。根据Kaplan - Meier标准评估的成功参数显示，150j能量的MP-TSCPC比125j能量的MP-TSCPC更有效。在第一组中，在长达12个月的随访中，87.1%(117例患者中的102例)成功。在60例能量较高(150 J)的患者中，MP-TSCPC在相同的观察期间有95%(60例患者中57例)的长期降压效果。关键词:开角型青光眼;眼压;微脉冲光凝

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来源期刊

Oftal''mokhirurgiia Medicine-Ophthalmology

CiteScore

0.20

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0.00%

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