Sulcus Tube Internal Needle Guidewire Technique for Glaucoma Drainage Device Placement: Improving Surgical Ease and Precision.
Sulcus Tube Internal Needle Guidewire Technique for Glaucoma Drainage Device Placement: Improving Surgical Ease and Precision.
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DOI：
10.1007/s40123-023-00848-0
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发表时间：
2024-02
影响因子：
3.3
通讯作者：
Webel, Aaron D.
中科院分区：
文献类型：
--
作者：
Shao, Christine G.;Gharabagi, Ariess P.;King, Joshua;Webel, Aaron D.
尽管微创青光眼手术（MIGS）的兴起，青光眼引流装置植入术仍然是青光眼手术治疗的主要选择。前房置管虽然能有效降低眼压，但会对角膜内皮造成风险。睫状沟管的放置有望减少角膜内皮细胞的损失，但适当的沟放置可能具有挑战性。我们的研究描述了一种新型沟管内针导丝（STING）技术用于青光眼引流装置插入睫状沟的初步安全性和有效性结果。我们回顾性地回顾了所有连续使用Ahmed ClearPath、Ahmed青光眼瓣膜或Baerveldt青光眼植入物接受STING技术的患者的图表，随访至少6个月。记录患者的人口统计学特征、青光眼类型、既往内科和外科治疗、术前和术后IOP、术前和术后用药、并发症和成功率。9只眼中有7只（77.8%）成功。术前平均IOP为23.8±6.3 mmHg，术后平均IOP降至14.9±3.7 mmHg （p = 0.008）。术前平均用药次数为4.4±0.7次，术后平均用药次数为3.6±1.0次（p = 0.039）。STING技术是一种新颖的方法，将青光眼引流装置放置在睫状沟中，以最小的并发症降低IOP。STING技术旨在提高手术的便利性和提高沟管置入的解剖精度。本文提供视频。在线版本包含补充材料，可在10.1007/s40123-023-00848-0获得。
Despite the rise of micro-invasive glaucoma surgery (MIGS), glaucoma drainage device implantation continues to be a mainstay among glaucoma surgical treatment options. Anterior chamber tube placement, while effective in reducing intraocular pressure (IOP), poses corneal endothelial risks. Ciliary sulcus tube placement shows promise in reduced corneal endothelial cell loss, but proper sulcus placement can be challenging. Our study describes the initial safety and effectiveness results using a novel sulcus tube internal needle guidewire (STING) technique for glaucoma drainage device insertion into the ciliary sulcus. We retrospectively reviewed the charts of all consecutive patients who underwent the STING technique using the Ahmed ClearPath, Ahmed Glaucoma Valve, or Baerveldt glaucoma implant with at least 6 months of follow-up. Demographic characteristics, type of glaucoma, previous medical and surgical treatment, pre- and postoperative IOP, pre- and postoperative medications, complications, and success rates were recorded. Out of nine eyes, seven resulted in qualified success (77.8%). Preoperative mean IOP was 23.8 ± 6.3 mmHg, and postoperative IOP decreased significantly to 14.9 ± 3.7 mmHg (p = 0.008). The average number of preoperative medications per patient was 4.4 ± 0.7, while the average number of postoperative medications per patient was reduced significantly to 3.6 ± 1.0 (p = 0.039). The STING technique is a novel method for placing a glaucoma drainage device into the ciliary sulcus, leading to IOP lowering with minimal complications. The STING technique is designed to improve surgical ease and increase anatomical precision of sulcus tube placement. Video available for this article. The online version contains supplementary material available at 10.1007/s40123-023-00848-0.
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DOI：
10.4103/1319-4534.301298
发表时间：
2020-01
期刊：
Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
影响因子：
--
作者：
Alobaida IA;Malik R;Ahmad S
通讯作者：
Ahmad S
影响因子：
2
作者：
Eslami, Yadolla;Mohammadi, Massood;Moghimi, Sasan
通讯作者：
Moghimi, Sasan
影响因子：
2
作者：
Weiner, Asher;Cohn, Aaron D.;Weiner, Adam J.
通讯作者：
Weiner, Adam J.
影响因子：
4.6
作者：
Kim JY;Lee JS;Lee T;Seo D;Choi W;Bae HW;Kim CY
通讯作者：
Kim CY
影响因子：
2.9
作者：
Weiner, Adam J.;Weiner, Yotam;Weiner, Asher
通讯作者：
Weiner, Asher