选择性激光小梁成形术治疗开角型青光眼的临床效果：对眼压控制和航空医学认证的意义。

IF 2.6 3区医学 Q2 ONCOLOGY

Photodiagnosis and Photodynamic Therapy Pub Date : 2025-07-11 DOI:10.1016/j.pdpdt.2025.104717

Hua Wang, Yan-Yan Zhao, Shan-Shan Cao, Wei Chen, Xin Wang, Yong Liu

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引用次数: 0

摘要

目的：评价选择性激光小梁成形术（SLT）治疗开角型青光眼的临床疗效和安全性，并探讨其对眼内压（IOP）调节和航空医学认证状态的影响。方法：回顾性分析2013年1月至2025年1月在空军专科医疗中心眼科行SLT手术的4名军事飞行员（8只眼）的临床资料。评估的结果包括SLT前后24小时IOP波动、药理学管理变化和医学证明结果。结果：SLT术后6只眼平均眼压降低（p < 0.05）， 24小时眼压峰值和眼压波动范围均降低（p < 0.05）。在这四个病例中，有两个患者减少或停止使用降低内压的药物。所有个体在治疗后都表现出稳定的眼部状况，并保持或恢复了飞行资格。结论：通过对4例原发性开角型青光眼的研究，SLT在降低IOP和减少药物依赖性方面具有良好的安全性和有效性。在患有开角型青光眼或高眼压的军事飞行员中，SLT可能被视为一种可行的治疗选择，可以支持维持飞行准备和航空医学认证。

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查看原文本刊更多论文

Clinical outcomes of selective laser trabeculoplasty in military pilots with open-angle glaucoma: Implications for intraocular pressure control and aeromedical certification

Objective

The aim of this study is to evaluate the clinical efficacy and safety of selective laser trabeculoplasty (SLT) in individuals diagnosed with open-angle glaucoma within the military pilot population and to examine its impact on intraocular pressure (IOP) regulation and aeromedical certification status.

Methods

A retrospective analysis was conducted using clinical data from four military pilots (eight eyes) who underwent SLT at the Ophthalmology Department of the Air Force Characteristics Medical Center between January 2013 and January 2025. Outcomes assessed included 24 h IOP fluctuations before and after SLT, changes in pharmacological management, and medical certification results.

Results

A statistically significant reduction in mean IOP was observed in six eyes following SLT (p < 0.05), with accompanying decreases in both the 24 h peak IOP and IOP fluctuation range (p < 0.05). Among the four cases, two individuals demonstrated a reduction or cessation in the use of IOP-lowering medications. All individuals exhibited stable ocular conditions post-treatment and retained or regained their flight qualification status.

Conclusion

Based upon the 4 cases of primary open-angle glaucoma investigated, SLT demonstrated favourable safety and efficacy in lowering IOP and reducing medication dependencey in this cohort. Among military pilots with open-angle glaucoma or ocular hypertension, SLT may be regarded as a viable therapeutic option that supports the maintenance of flight readiness and aeromedical certification.

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来源期刊

Photodiagnosis and Photodynamic Therapy ONCOLOGY-

CiteScore

5.80

自引率

24.20%

发文量

509

审稿时长

50 days

期刊介绍： Photodiagnosis and Photodynamic Therapy is an international journal for the dissemination of scientific knowledge and clinical developments of Photodiagnosis and Photodynamic Therapy in all medical specialties. The journal publishes original articles, review articles, case presentations, "how-to-do-it" articles, Letters to the Editor, short communications and relevant images with short descriptions. All submitted material is subject to a strict peer-review process.