Finger massage versus a novel massage device after trabeculectomy
Finger massage versus a novel massage device after trabeculectomy
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DOI：
10.3129/i08-006
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发表时间：
2008-04-01
影响因子：
4.2
通讯作者：
Fresco, Bernard B.
中科院分区：
文献类型：
--
作者：
Gouws, Pieter;Buys, Yvonne M.;Fresco, Bernard B.
背景：眼部按摩是小梁切除术后辅助滤过的常用技术。这项初步研究比较了一种新的眼部按摩装置（MD）与手指按摩（FM）后小梁切除术。该设备为患者提供了音频反馈正确施加的力量，施加的力量可以定制为每个patient.Methods：一个前瞻性的，随机研究进行比较FM与MD对眼内压（IOP）和并发症发生率的影响。所有患者均接受标准化的眼部按摩指导。通过让患者在眼科医生面前进行按摩，在按摩前后测量IOP，在1周时评估其按摩技术的效率。每周记录有关滤过泡形态、IOP、眼部药物和并发症的信息。患者的观点是通过问卷调查记录在1周，1个月，3个月后开始的mass.Results：25例患者参加了这项研究，12随机分配到FM和13 MD组。MD组的患者对他们正确进行按摩更有信心（P = 0.009），并且报告了更好的易用性和更低的疼痛评分。前3周内，两组的IOP平均差异无统计学意义，3个月后两组的IOP在统计学上相似。FM组8例患者（66%）与MID组6例患者（46%）进行了激光缝线松解（P = 0.42）。4例患者出现伤口渗漏（FM组3例，MD组1例，p = 0.32）。解释：按摩装置在小梁切除术后管理中也显示出良好的效果。
Background: Ocular massage is a common technique employed after trabeculectomy to aid filtration. This pilot study compares a novel ocular massage device (MD) with finger massage (FM) after trabeculectomy. The device provides the patient with audio feedback about correctly applied force, and the force applied can be customized for each patient.Methods: A prospective, randomized study was performed comparing the effects of FM versus MD on intraocular pressure (IOP) and complication rates. All patients were given a standardized tutorial in ocular massage. The efficiency of their massage technique was evaluated at 1 week by having the patient perform the massage in front of the ophthalmologist, with IOP measurements taken before and after massage. Information on bleb morphology, IOP, ocular medications, and complications were recorded on a weekly basis. The patient perspective was recorded by questionnaire at 1 week, 1 month, and 3 months after initiation of the massage.Results: Twenty-five patients were enrolled in the study, 12 randomly assigned to the FM and 13 to the MD groups. Patients in the MD group were much more confident that they were doing the massage correctly (P = 0.009) and reported a greater ease of use and lower pain scores. The mean difference in IOP in the 2 groups was not statistically significant in the first 3 weeks, and IOP after 3 months was statistically similar in both groups. Laser suture lysis was performed in 8 patients (66%) in the FM versus 6 (46%) in the MID group (P = 0.42). Wound leaks developed in 4 patients (3 in the FM group vs. 1 in the MD group, p = 0.32).Interpretation: The massage device shows promise as an adjunctive too[ in the postoperative management of trabeculectornies.