Outcomes of flanged IOL fixation combined with microhook trabeculotomy
Outcomes of flanged IOL fixation combined with microhook trabeculotomy
复制标题
带凸缘人工晶状体固定结合微钩小梁切开术的结果
DOI：
10.1007/s10792-021-02045-z
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发表时间：
2021
影响因子：
1.6
通讯作者：
Fukushima Atsuki
中科院分区：
文献类型：
--
作者：
Miura Yusaku;Fukuda Ken;Fukushima Atsuki
目的评价法兰人工晶状体固定联合微钩小梁切开术的疗效。患者和方法本研究是一项回顾性病例系列研究，包括2019年5月至2020年2月在高知大学医院接受晶状体半脱位或人工晶状体半脱位的9例脱落性青光眼患者的9只眼，这些患者接受了晶状体缘固定联合微钩小梁切开术。比较手术前后平均最佳矫正视力、眼压和抗青光眼药物的数量。结果平均随访时间为5.67±2.50个月。平均最佳矫正视力由术前的0.83±0.72显著提高至末次复诊时的0.22±0.34 （p= 0.015）。平均眼压由术前的27.1±8.12 mmHg降至末次就诊时的13.2±3.73 mmHg （p= 0.008）。抗青光眼药物的平均使用次数由最后一次就诊时的4.56±1.88次减少到2.0±1.0次（p= 0.008）。所有患者术后眼压均控制在21 mmHg或更低。术后玻璃体出血6眼（66.7%），2眼需再次手术。结论晶状体半脱位或人工晶状体脱落性青光眼采用晶状体缘固定联合微钩小梁切开术治疗效果良好。
PurposeTo evaluate the outcomes of flanged intraocular lens fixation combined with microhook trabeculotomy.Patients and methodsThis study was a retrospective case series and included nine eyes of nine exfoliation glaucoma patients with subluxated lens or intraocular lens who underwent flanged intraocular lens fixation combined with microhook trabeculotomy between May 2019 and February 2020 at the Kochi University Hospital. The mean best-corrected visual acuity, intraocular pressure, and number of antiglaucoma medications were compared before and after surgery.ResultsThe mean follow-up period was 5.67 ± 2.50 months. The mean best-corrected visual acuity improved significantly from 0.83 ± 0.72 preoperatively to 0.22 ± 0.34 at the last visit (p= 0.015). The mean intraocular pressure had significantly reduced from 27.1 ± 8.12 mmHg preoperatively to 13.2 ± 3.73 at the last visit (p= 0.008). The mean number of antiglaucoma medications decreased significantly from 4.56 ± 1.88 to 2.0 ± 1.0 at the last visit (p= 0.008). Postoperative intraocular pressure control to 21 mmHg or lower was achieved or maintained in all patients. Postoperative vitreous hemorrhage was observed in six eyes (66.7%), two of which needed reoperation.ConclusionsThis study showed that flanged intraocular lens fixation combined with microhook trabeculotomy might be effective for exfoliation glaucoma with subluxated lens or intraocular lens.
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影响因子：
3.7
作者：
Lee, Richard K.
通讯作者：
Lee, Richard K.
影响因子：
2.8
作者：
Agarwal, Amar;Kumar, Dhivya Ashok;Srinivasan, Sridhar
通讯作者：
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影响因子：
2.8
作者：
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影响因子：
2
作者：
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通讯作者：
Lingam, Vijaya
影响因子：
1.9
作者：
Miura, Yusaku;Harada, Yosuke;Kiuchi, Yoshiaki
通讯作者：
Kiuchi, Yoshiaki