Prognostic factors for successful Baerveldt glaucoma implant surgery for refractory glaucoma after multiple surgeries
Prognostic factors for successful Baerveldt glaucoma implant surgery for refractory glaucoma after multiple surgeries
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DOI：
10.1007/s10384-021-00864-2
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发表时间：
2021-08-10
影响因子：
2.4
通讯作者：
Nishida, Kohji
中科院分区：
文献类型：
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作者：
Matsushita, Kenji;Kawashima, Rumi;Nishida, Kohji
目的 确定 Baerveldt 青光眼植入 (BGI) 手术后 3 年成功的预后因素。研究设计 单中心回顾性临床研究。方法 我们分析了 2012 年至 2016 年间在大阪大学医院接受 BGI 手术的 27 只眼睛（24 名患者）。术后对患者进行至少3年的随访。我们分析了成功率和风险因素。失败定义为需要额外手术以降低眼压、光感丧失以及连续两次随访时眼压 (IOP) >= 22 mmHg（定义 1）或 >= 17 mmHg（定义 2）。结果 之前接受过眼部手术的平均次数为 4.1 +/- 3.3 次。根据定义1，术后1年和3年的成功率分别为81.5%和77.8%；根据定义2，手术后成功率分别为51.9%和48.2%。早期和晚期手术并发症发生率分别为29.6%和22.2%。根据定义2，BGI手术后2个月眼压>=17 mmHg和既往眼科手术次数是失败的重要危险因素。结论我院难治性青光眼BGI手术后的远期结果和并发症发生率与既往报道相似，BGI术后2个月眼压和既往眼科手术次数与预后相关。
Purpose To determine the prognostic factors for success 3 years after Baerveldt glaucoma implant (BGI) surgery. Study design Single-center retrospective clinical study. Methods We analyzed 27 eyes (24 patients) treated with BGI surgery between 2012 and 2016 at Osaka University Hospital. Patients were followed for a minimum of 3 years postoperatively. We analyzed the success rates and risk factors. Failure was defined as the need for additional surgery for IOP reduction, loss of light perception, and intraocular pressure (IOP) >= 22 mmHg (definition 1) or >= 17 mmHg (definition 2) at two consecutive follow-up visits. Results The mean number of previous eye surgeries was 4.1 +/- 3.3. The success rates were 81.5% and 77.8%, respectively, 1 year and 3 years after surgery based on definition 1 and 51.9% and 48.2%, respectively, based on definition 2. The early and late surgical complication rates, respectively, were 29.6% and 22.2%. An IOP 2 months after BGI surgery of >= 17 mmHg and the number of previous eye surgeries were significant risk factors for failure based on definition 2. Conclusion The long-term results and complication rates after BGI surgery for refractory glaucoma in our hospital were similar to previous reports, and the IOP 2 months after BGI surgery and the number of previous eye surgeries were associated with the prognosis.