Efficacy of glaucoma filtration surgery in pseudophakic patients with or without conjunctival scarring
Efficacy of glaucoma filtration surgery in pseudophakic patients with or without conjunctival scarring
复制标题
青光眼滤过手术对有或无结膜疤痕的人工晶状体眼患者的疗效
DOI：
10.1016/j.jcrs.2004.05.017
复制
发表时间：
2004
影响因子：
2.8
通讯作者：
Jorge L Rivera
中科院分区：
文献类型：
--
作者：
B. Shingleton;Charlie Alfano;M. O’Donoghue;Jorge L Rivera
目的分析人工晶状体眼青光眼滤过手术后的眼内压（IOP）、青光眼药物治疗要求和视力。方法回顾性分析40例人工晶状体眼患者47眼青光眼滤过手术的结果，随访时间至少为1年。术前平均眼压为25 mm Hg ± 7.3（SD），平均青光眼药物治疗次数为3.3 ± 1.0，平均logMAR视力为0.41 ± 0.38。在最终随访时（平均36.5 ± 31.5个月），分别为13.6 ± 6.6 mm Hg（P<0.001）、0.9 ± 1.4（P<0.001）和0.46 ± 0.43（P= 0.53）。未处理结膜的眼睛和先前处理过结膜的眼睛的平均术后IOP、青光眼药物需求和最终随访时的视力分别如下：IOP，12.5 ± 3.2 mm Hg和14.1 ± 7.6 mm Hg（P=.52）;药物，1.1 ± 1.3和0.9 ± 1.4（P=.66）;和logMAR敏锐度，0.6 ± 0.52和0.4 ± 0.39（P=.23）结论：人工晶状体眼青光眼滤过手术可显著改善眼压，减少青光眼药物需求，同时维持稳定的眼压。视野未使用结膜的眼睛与之前手术操作过结膜的眼睛之间的最终IOP、青光眼药物需求或视力无统计学显著差异。
PURPOSETo analyze the intraocular pressure (IOP), glaucoma medication requirements, and visual acuity after glaucoma filtration surgery in pseudophakic eyes.SETTINGPrivate practice, Boston, Massachusetts, USA.METHODSThe results of glaucoma filtration surgery in 47 eyes of 40 pseudophakic patients with a minimum follow-up of 1 year were retrospectively reviewed. Eyes with previously surgically manipulated conjunctiva in the area of filtration were compared to eyes without previous manipulation.RESULTSPreoperatively, the mean IOP was 25 mm Hg ± 7.3 (SD); mean number of glaucoma medications, 3.3 ± 1.0; and mean logMAR visual acuity, 0.41 ± 0.38. At the final follow-up visit (mean 36.5 ± 31.5 months), the respective means were 13.6 ± 6.6 mm Hg (P<.001), 0.9 ± 1.4 (P<.001), and 0.46 ± 0.43 (P=.53). The mean postoperative IOP, glaucoma medication requirements, and visual acuity at the final follow-up in eyes with virgin conjunctiva and eyes with previously manipulated conjunctiva were, respectively, as follows: IOP, 12.5 ± 3.2 mm Hg and 14.1 ± 7.6 mm Hg (P=.52); medications, 1.1 ± 1.3 and 0.9 ± 1.4 (P=.66); and logMAR acuity, 0.6 ± 0.52 and 0.4 ± 0.39 (P=.23).CONCLUSIONSGlaucoma filtration surgery in pseudophakic eyes significantly improved IOP and reduced glaucoma medication requirements while maintaining stability of vision. There were no statistically significant differences in final IOP, glaucoma medication requirements, or visual acuity between eyes with virgin conjunctiva and eyes with previously surgically manipulated conjunctiva.
高级青光眼干预研究（AGIS）：11.小梁切除术和氩激光小梁成形术失败的危险因素。
影响因子：
4.2
作者：
AGISInvestigators
通讯作者：
AGISInvestigators
高级青光眼干预研究 (AGIS)：5. 初次小梁切除术后出现包囊泡。
影响因子：
4.2
作者：
Schwartz,AL;VanVeldhuisen,PC;Gaasterland,DE;Ederer,F;Sullivan,EK;Cyrlin,MN
通讯作者：
Cyrlin,MN
无晶状体眼的小梁切除术。
影响因子：
13.7
作者：
Heuer,DK;Gressel,MG;Parrish2nd,RK;Anderson,DR;Hodapp,E;Palmberg,PF
通讯作者：
Palmberg,PF