■比较使用和不使用膨体聚四氟乙烯(e-PTFE)植入物联合超声乳化(PE)的非穿透性深层巩膜切除术(NPDS)的结果。
■并发对照组的介入病例系列。
■患有未控制青光眼的患者接受PE非穿透性深层巩膜切除术(NPDS),并连续分为接受e-PTFE植入物的研究组和接受PE-NPDS的对照组。眼内压(IOP),矫正视力(CDVA),以及1天时青光眼药物的数量,1周,1个月,3个月,并记录了6个月。
■共有16例患者的22只眼接受了PE-NPDS,包括11只接受e-PTFE植入物的眼睛和另外11只没有植入物的眼睛。NPDS与间隔在所有患者中取得了成功的结果,包括八项(72.7%)完成和三项(27.3%)合格成功,6个月,术后。对照组的相应值分别为10(90.9%)和1(9.1%),分别。在间隔组中,平均IOP从基线时的19.3±2.8降至第6个月时的12.1±2.0mmHg(p<0.001).对照组的相应值分别为18.6±3.4和10.6±1.5mmHg,分别(p<0.001)。在所有时间点,研究组之间的平均IOP是相当的。研究组中的一名患者发生了植入物暴露。当植入物被挤出时,IOP得到医学控制.
■使用e-PTFE植入物的PE-NPDS的结果在短期内与没有间隔物的相同手术相当。需要更大的研究和更长时间的随访来确定这种新植入物的疗效和安全性。
■HajizadehM,MeshksarA,HassanpourK,etal.膨胀型聚四氟乙烯垫片用于非穿透性深部巩膜切除术合并白内障手术。JCurr青光眼Pract2024;18(2):51-56。
UNASSIGNED: To compare the outcomes of nonpenetrating deep sclerectomy (NPDS) with and without an expanded polytetrafluoroethylene (e-PTFE) implant combined with phacoemulsification (PE).
UNASSIGNED: Interventional case series with concurrent control group.
UNASSIGNED: Patients with medically uncontrolled glaucoma underwent PE nonpenetrating deep sclerectomy (NPDS) and were consecutively divided into a study group receiving an e-PTFE implant and a control group undergoing PE-NPDS. Intraocular pressure (IOP), corrected distance visual acuity (CDVA), and the number of glaucoma medications at 1 day, 1 week, 1 month, 3 months, and 6 months were recorded.
UNASSIGNED: A total of 22 eyes of 16 patients underwent PE-NPDS, including 11 eyes receiving an e-PTFE implant and another 11 eyes with no implant. NPDS with spacer achieved successful results in all patients, including eight (72.7%) complete and three (27.3%) qualified success, 6 months, postoperatively. The corresponding values in the control group were 10 (90.9%) and 1 (9.1%), respectively. In the spacer group, mean IOP was decreased from 19.3 ± 2.8 at baseline to 12.1 ± 2.0 mm Hg at month 6 (p < 0.001). Corresponding values for the control group were 18.6 ± 3.4 and 10.6 ± 1.5 mm Hg, respectively (p < 0.001). Mean IOPs were comparable between the study groups at all time points. Implant exposure occurred in one of the patients in the study group. While the implant was extruded, the IOP was medically controlled.
UNASSIGNED: Outcomes of PE-NPDS using an e-PTFE implant were comparable to the same surgery without a spacer in the short term. Larger studies with longer follow-ups are needed to determine the efficacy and safety of this new implant.
UNASSIGNED: Hajizadeh M, Meshksar A, Hassanpour K, et al. Expanded Polytetrafluoroethylene Spacer for Nonpenetrating Deep Sclerectomy Combined with Cataract Surgery. J Curr Glaucoma Pract 2024;18(2):51-56.