360°双通道外小梁切开术治疗先天性青光眼。

IF 1.2 4区 医学 Q3 OPHTHALMOLOGY
Arquivos brasileiros de oftalmologia Pub Date : 2025-07-21 eCollection Date: 2025-01-01 DOI:10.5935/0004-2749.2024-0197
Flávia S Villas Boas, Ana Catharina Pinho Costa, Christiane Rolim-de-Moura, Carolina P B Gracitelli
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引用次数: 0

摘要

目的:本研究旨在探讨双入路360°外小梁切开术治疗先天性青光眼的技术、可行性、疗效和安全性。方法:本文详细介绍了360°双通道外小梁切开术治疗小儿青光眼的方法。本文还报道了6例接受此手术治疗原发性和继发性先天性青光眼的患者的6只眼的术后结果。结果:6例患者的6只眼纳入本研究。手术时患者的中位年龄为1.25岁(范围:0.27-5.41岁)。术前平均眼压25±5.87 mmHg(范围:18 ~ 35 mmHg)。基线时,使用降压滴眼液药物的平均次数为2±0.63次。术后平均眼压降至10±2.20 mmHg(范围:9 ~ 14 mmHg),无降压滴眼液。术后最常见的并发症是前房积血,1例发生在术后第一天;然而,它在7天内解决了。结论:360°双通道外小梁切开术是治疗儿童青光眼的一种有价值的手术选择。该技术可在提高手术安全性的同时,使小梁网实现360°的完全开口。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
360° trabeculotomy ab externo with double access for the treatment of congenital glaucoma.

Purpose: This study aims to describe the technique, feasibility, efficacy, and safety of 360° trabeculotomy ab externo with double access for the treatment of congenital glaucoma.

Methods: This paper provides a detailed description of the 360° trabeculotomy ab externo with double access used to treat pediatric glaucoma. The postoperative outcomes of six eyes from six patients who underwent this procedure for primary and secondary congenital glaucoma are also reported.

Results: Six eyes from six patients were included in this study. The median age of the patients at the time of surgery was 1.25 yr (range: 0.27-5.41 yr). The mean preoperative intraocular pressure was 25 ± 5.87 mmHg (range: 18-35 mmHg). At baseline, the mean number of hypotensive eye drop medications used was 2 ± 0.63. Postoperatively, the mean intraocular pressure decreased to 10 ± 2.20 mmHg (range: 9-14 mmHg), and none of the patients required hypotensive eye drops. The most common postoperative complication was hyphema, observed in one case on the first postoperative day; however, it resolved within 7 days.

Conclusions: The 360° trabeculotomy ab externo with double access is a valuable addition to the surgical options for pediatric glaucoma. This technique facilitates a complete 360° ab externo opening of the trabecular meshwork while enhancing surgical safety.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
200
审稿时长
6-12 weeks
期刊介绍: The ABO-ARQUIVOS BRASILEIROS DE OFTALMOLOGIA (ABO, ISSN 0004-2749 - print and ISSN 1678-2925 - (ABO, ISSN 0004-2749 - print and ISSN 1678-2925 - electronic version), the official bimonthly publication of the Brazilian Council of Ophthalmology (CBO), aims to disseminate scientific studies in Ophthalmology, Visual Science and Health public, by promoting research, improvement and updating of professionals related to the field.
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