Surgical complications in the tube versus trabeculectomy study during the first year of follow-up
Surgical complications in the tube versus trabeculectomy study during the first year of follow-up
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DOI：
10.1016/j.ajo.2006.07.022
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发表时间：
2007-01-01
影响因子：
4.2
通讯作者：
Schiffman, Joyce C.
中科院分区：
文献类型：
--
作者：
Gedde, Steven J.;Herndon, Leon W.;Schiffman, Joyce C.
目得：描述插管与小梁切除术（TVT）研究第一年随访期间遇到的术中和术后并发症。产品设计：多中心随机临床试验。方法：地点：17个临床中心。研究，人群：212例年龄在18 - 85岁之间的患者，既往接受过小梁切除术和/或白内障摘除联合眼内透镜植入术，青光眼未得到控制，眼压>= 18 mm Hg，Snellen视力≥ 2行，管组18例（17%），结论：在研究的第一年随访期间，有大量的手术并发症，但大多数是自限性的。术后并发症发生率MMC小梁切除术明显高于无阀管分流术。两种手术导致再次手术和/或视力丧失的严重并发症发生率相似。
PURPOSE: To describe the intraoperative and postoperative complications encountered during the first year of follow-up in the Tube Versus Trabeculectomy (TVT) Study. DESIGN : Multicenter randomized clinical trial.METHODS: SETTING: Seventeen clinical centers.STUDY, POPULATION: Two hundred twelve patients aged 18 to 85 years who had undergone previous trabeculectomy and/or cataract extraction with intraocular lens implantation and uncontrolled glaucoma with intraocular pressure >= 18 mm Hg and = 2 lines of Snellen visual acuity in 18 patients (17%) in the tube group and 28 patients (27%) in the trabeculectomy group (P = .12).CONCLUSIONS: There were a large number of surgical complications during the first year of follow-up in the study, but most were self-limited. The incidence of Postoperative complications was higher after trabeculectomy with MMC than nonvalved tube shunt surgery. Serious complications resulting in reoperation and/or vision loss occurred with similar frequency with both surgical procedures.