小梁切除术后早期出血对手术结果的影响:前瞻性队列研究

IF 1.2 Q3 OPHTHALMOLOGY
Journal of Current Ophthalmology Pub Date : 2024-03-29 eCollection Date: 2023-07-01 DOI:10.4103/joco.joco_132_23
Maryam Yadgari, Maryam Oraee Yazdani, Pantea Karbasi, Mahya Naseripour, Ahmad Shojaei
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引用次数: 0

摘要

目的:评估小梁切除术后早期眼泡渗漏对小梁切除术疗效和成功率的影响:本前瞻性队列研究针对 2016 年至 2021 年期间在伊朗德黑兰 Torfeh 和 Imam Hossein 医疗中心接受小梁切除术的 203 名患者的 203 只眼睛。患者分为两组:早期眼压渗漏(手术后一个月内)和无眼压渗漏。比较了两组患者术后 12、18 和 24 个月的手术成功率。此外,还比较了小梁切除术后 1、3、6、9、12、18 和 24 个月患者的平均眼压(IOP)和用药需求:在小梁切除术后的第一个月,有 33 只眼睛(16.3%)发现了眼泡渗漏。在术后 1、6、9、12、18 和 24 个月,有渗漏组患者的平均眼压降幅明显低于无渗漏组患者(P < 0.05)。术后 3 个月(P = 0.04)和 9 个月(P = 0.047),有眼泡渗漏的患者对抗青光眼药物的需求明显增加(P < 0.05)。术后12、18和24个月时,有渗漏组的成功率明显低于无渗漏组:我们的研究结果表明,小梁切除术后早期眼泡渗漏对手术成功率有负面影响。此外,早期渗漏患者的眼压降低率较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Early Posttrabeculectomy Bleb Leakage on Surgical Outcome: A Prospective Cohort Study.

Purpose: To evaluate the effect of early posttrabeculectomy bleb leakage on trabeculectomy surgery outcomes and success rate.

Methods: The present prospective cohort study was conducted on 203 eyes of 203 patients who underwent trabeculectomy at Torfeh and Imam Hossein Medical Centers, Tehran, Iran, between 2016 and 2021. Patients were divided into two groups: those with early bleb leakage (within the 1st month of surgery) and those without bleb leakage. The success rate of surgery was compared 12, 18, and 24 months after surgery in the two groups. The average intraocular pressure (IOP) and the need for medications in patients 1, 3, 6, 9, 12, 18, and 24 months after the trabeculectomy were also compared.

Results: Bleb leakage was detected in 33 eyes during the 1st month after a trabeculectomy (16.3%). The mean decrease in IOP in the group with leakage was significantly lower than in patients without leakage at 1, 6, 9, 12, 18, and 24 months after surgery (P < 0.05). The need for antiglaucoma medication was significantly higher among patients with bleb leakage at 3 months (P = 0.04) and 9 months (P = 0.047) after surgery (P < 0.05). The success rate at 12, 18, and 24 months after surgery was significantly lower in the group with leakage than the group without.

Conclusions: The results of our study suggest that early posttrabeculectomy bleb leakage negatively impacts surgery success. Furthermore, IOP reduction was lower in patients with early leakage.

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来源期刊
CiteScore
2.50
自引率
6.70%
发文量
45
审稿时长
8 weeks
期刊介绍: Peer Review under the responsibility of Iranian Society of Ophthalmology Journal of Current Ophthalmology, the official publication of the Iranian Society of Ophthalmology, is a peer-reviewed, open-access, scientific journal that welcomes high quality original articles related to vision science and all fields of ophthalmology. Journal of Current Ophthalmology is the continuum of Iranian Journal of Ophthalmology published since 1969.
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