检索结果-南通市图书馆

Eye and Vision 2021年第4期8卷 431-442页

作者： Ali Salimi Harrison Watt Paul Harasymowycz Department of Ophthalmology Faculty of MedicineMcGill UniversityMontrealQCCanada Montreal Glaucoma Institute MontrealQCCanada Faculty of Medicine McGill UniversityMontrealQCCanada Department of Ophthalmology University of Montreal4135 de RouenMontrealQC H1V1G5Canada

Background:The short-and medium-term outcomes of istent have been extensively studied;however,only few studies have investigated its long-term ***,we assessed the long-term efficacy and safety of two istents with concomitant cataract surgery in glaucomatous eyes while also evaluating measures of disease stability using visual field and optical coherence tomography(OCT)of the optic nerve and the macula throughout 8 years of ***:This longitudinal,single-center consecutive case series included glaucomatous eyes that underwent implantation of two first-generation trabecular micro-bypass stents(istent)with concomitant cataract ***-year efficacy outcomes included mean intraocular pressure(IOP)and medications,as well as surgical ***-year safety outcomes included best-corrected visual acuity(BCVA),visual field mean deviation(VF-MD),cup-todisc ratio(CDR),retinal nerve fiber layer(RNFL)thickness,ganglion cell-inner plexiform layer(GC-IPL)thickness,and adverse ***:A total of 62 eyes with primary open-angle glaucoma(POAG)were *** 8 years postoperative,IOP reduced by 26%from 19.2±3.9 mmHg preoperatively to 14.2±2.4 mmHg(Pistents with concomitant cataract surgery is an effective and safe treatment option for surgery-naïve POAG eyes,evidenced by significant IOP and medication reductions,reasonable surgical success

关键词： Minimally invasive glaucoma surgery MIGS Trabecular micro-bypass stent istent Glaucoma Cataract surgery Long-term outcomes

维普期刊数据库

Performances of glaucoma operations with Kahook Dual Blade or istent combined with phacoemulsification in Japanese open angle glaucoma patients

在线全文

学校读者我要写书评

暂无评论

International Journal of Ophthalmology(English edition) 2020年第6期13卷 941-945页

作者： Kentaro Iwasaki Yoshihiro Takamura Yusuke Orii Shogo Arimura Masaru Inatani Department of Ophthalmology Faculty of Medical SciencesUniversity of FukuiFukui 910-1193Japan Department of Ophthalmology Obama HospitalFukui 917-8567Japan

AIM:To compare surgical outcomes of phacoemulsification combined with glaucoma surgical techniques performed with either Kahook Dual Blade(KDB)or istent for Japanese patients with either primary open angle glaucoma or exfoliation ***:We retrospectively evaluated the surgical outcomes of 129 eyes of 84 Japanese patients with glaucoma who underwent KDB or 44 eyes of 34 patients who underwent phacoemulsification with istent procedures combined with cataract *** primary outcome was surgical success or failure[with surgical failure being indicated by18 mm Hg as criterion A;IOP>14 mm Hg as criterion B on two consecutive study visits;or reoperation requirement].In addition,we assessed the number of postoperative glaucoma medications and the resulting ***:The probability of success was significantly higher in the KDB group than in the istent group for criterion A(60.2%vs 46.4%,P=0.019).In the KDB group,the mean preoperative IOP of 19.8±7.3 mm Hg decreased significantly to 13.0±3.1 mm Hg(Pistent group,the mean preoperative IOP of 17.8±2.9 mm Hg significantly decreased to 14.3±2.3 mm Hg(Pistent group(19.0%)12 mo postoperatively(P=0.03).Hyphema occurred significantly more frequently in the KDB group(16.3%)than in the istent group(2.3%,P=0.017).CONCLUSION:KDB and istent procedures combined with cataract surgery both result in significant IOP and glaucoma medication reductions after the 12-month *** patients in the KDB group have a higher success rate for the target IOP of less than 18 mm Hg and a higher complication rate than those

关键词： glaucoma surgery surgical outcome Kahook Dual Blade istent

Micro-Invasive Glaucoma Surgery with the istent inject: Impact on IOP and Medication Burden in a Real-World Setting

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Ophthalmology 2020年第1期10卷 89-98页

作者： Abdulmajeed Alharbi Department of Ophthalmology College of Medicine Qassim University Al-Mulida Qassim KSA

Background: The istent inject is a Micro-Invasive Glaucoma Surgical (MIGS) device that has shown to reduce IOP and to be safe for glaucoma patients with fewer complications than regular surgery. Objective: To investigate, up to 15 - 20 months, the efficacy and safety of implantation of two second-generation trabecular microbypass stents in patients with or without prior glaucoma surgery. Methods: Fifty-seven eyes were implanted with the istent inject. The population was comprised of eyes with primary open-angle glaucoma (n = 51), pseudoexfoliation glaucoma (n = 5) and ocular hypertension (n = 1). Major outcome parameters included IOP, medication needs and corrected distance visual acuity (CDVA). Follow-up time points were one day, 2 - 4 months, 9 - 14 months and 15 - 20 months. Results: The main reason to perform MIGS was IOP reduction in 68.4%, reduced number of medications due to drug intolerance in 24.6% and reduced medication due to compliance issues in 7.0% of the eyes. IOP decreased by 22.47%, from 19.40 ± 3.83 mmHg preoperatively (preop) to 15.04 ± 1.67 mmHg at 15-20 months postoperatively. IOP reduction was achieved at all follow-up time points (p Conclusions: Insertion of the istent inject in patients with or without prior glaucoma surgery shows effective and sustained improvements in IOP with no safety concerns.

关键词： istent inject MIGS Glaucoma Intraocular Pressure Visual Acuity Medica-tion Need

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

小梁微型旁路支架istent的研究进展

眼科新进展 2016年第9期36卷 894-897页

作者：林仲静徐硕钟一声上海交通大学医学院附属瑞金医院眼科上海市200025

随着人们对青光眼认识和研究的深入,抗青光眼手术方式也有了飞速的发展。小梁微型旁路支架istent植入是近年来开始应用于临床的一种新型的微创青光眼手术,与传统的小梁切除术相比,手术安全、创伤小、恢复快、并发症小,而且不影响再次行... 详细信息

随着人们对青光眼认识和研究的深入,抗青光眼手术方式也有了飞速的发展。小梁微型旁路支架istent植入是近年来开始应用于临床的一种新型的微创青光眼手术,与传统的小梁切除术相比,手术安全、创伤小、恢复快、并发症小,而且不影响再次行常规的小梁切除术。本文就近年报道的关于小梁微型旁路支架istent的研究进展进行综述。

关键词：小梁微型旁路支架 istent 青光眼

Comparison of minimally invasive glaucoma surgery with trabecular micro-bypass stent and microhook ab interno trabeculotomy performed in conjunction with cataract surgery

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

International Journal of Ophthalmology(English edition) 2022年第7期15卷 1082-1088页

作者： Naoto Tokuda Yasushi Kitaoka Ayaka Tsukamoto Yasuhiro Toyoda Yusuke Yamada Kana Sase Hitoshi Takagi Department of Ophthalmology St Marianna University School of Medicine2-16-1 Sugao Miyamae-ku Kawasaki-shiKanagawa 216-8851Japan

AIM: To evaluate the effectuality and safety of cataract surgery combined with either ab interno trabeculotomy by the microhook(μLOT) or a single i Stent? trabecular bypass implantation(i Stent) in eyes with cataract and mild-tomoderate glaucoma. METHODS: This study enrolled subjects with mild-tomoderate open angle glaucoma with visually significant cataract who used two or more ophthalmic antiglaucoma agents between 60 and 90 y of age. Patients underwent cataract surgery cooperated with either implantation of an i Stent(i Stent-phaco) or excisional goniotomy with the μLOT(μLOT-phaco). Patients underwent μLOT-phaco in the eye with lower the mean deviation, according to the Humphrey field analyzer, while i Stent-phaco was carried out on the other eye. Intraocular pressure(IOP) pre-and post-surgery, alterations in anterior chamber flare(ACF), and corneal endothelial cell density(ECD) were ***: Twenty subjects were enrolled(mean age: 73.6±7.3 y). The mean medicated preoperative IOP was 16.7 mm Hg in the μLOT and 16.2 mm Hg in the i Stent eyes. The mean final IOP at 12 mo was 13.6 mm Hg in the μLOT eyes and 13.6 mm Hg in the i Stent eyes, representing a 17.8% and 17.2% reduction, respectively. The preoperative ACF in the μLOT eyes was 9.5 pc/ms and it returned to normal in 30 d postoperatively, with a value of 11.4 pc/ms. In the i Stent eyes, ACF was 9.6 pc/ms preoperatively and it returned to normal by 7 d postoperatively(11.2 pc/ms atday 7), demonstrating that postoperative inflammation was less in the i Stent eyes. The corneal ECD in both groups was not significantly ***: In this study, i Stent and μLOT are both effective through 12 mo of follow-up. Safety is more favorable in the i Stent eyes, based on early anterior chamber inflammation.

关键词： minimally invasive glaucoma surgery istent ab interno trabeculotomy

Implantation of trabecular micro-bypass stent using a novel “landing strip” technique

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

International Journal of Ophthalmology(English edition) 2017年第5期10卷 738-741页

作者： Cindy X.Zheng Marlene R.Moster Priyanka Gogte Yang Dai Remy S.Manzi Michael Waisbourd Glaucoma Research Center Wills Eye Hospital PhiladelphiaPA 19107 USA

AIM：To describe a novel technique of creating a landing strip within the trabecular meshwork to guide trabecular micro-bypass stent（istent） implantation in patients who underwent ***：Thirty-four eyes from 30 patients who underwent i Stent implantation after phacoemulsification from May 2014 to February 2015 were included in our retrospective study. All istents were implanted via the ＂landing strip＂ technique. A 25-gauge microvitreoretinal blade was used to bisect the trabecular meshwork to less than 1 clock-hour, effectively creating a landing strip. The istent applicator was pressed along the landing strip and then the stent was released into the trabecular meshwork. RESULTS：Of the 34 eyes with istent implantation, 27（79.4%） eyes had primary open-angle glaucoma, 6（17.6%） eyes had pseudoexfoliation glaucoma, and 1（2.9%） eye had ocular hypertension. At 6-month follow-up（n=17）, the mean number of hypotensive medications decreased from 2.2±1.2 at baseline to 0.8±1.3（P=0.05） and mean intraocular pressure decreased from 19.7±4.1 mm Hg at baseline to 16.7±2.1 mm Hg（P=0.58）. Two eyes（5.9%） required subsequent trabeculectomy. CONCLUSION：The ＂landing strip＂ technique appears to be an effective way to assist with iS tent implantation.

关键词： istent trabecular micro-bypass stent microinvasive glaucoma surgery glaucoma trabecular meshwork

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

微创青光眼手术的新进展

国际眼科杂志 2019年第6期19卷 945-949页

作者：白刚张贵森张晓光刘洋内蒙古朝聚眼科医院

微创青光眼手术(micro invasive glaucoma surgery,MIGS)是新兴的一类青光眼手术,与传统小梁切除术相比,手术并发症相对少。MIGS按降眼压原理分为三类:减少房水生成术(如内窥镜下激光睫状体光凝术,高强度聚焦超声睫状体成形术),外引流手... 详细信息

微创青光眼手术(micro invasive glaucoma surgery,MIGS)是新兴的一类青光眼手术,与传统小梁切除术相比,手术并发症相对少。MIGS按降眼压原理分为三类:减少房水生成术(如内窥镜下激光睫状体光凝术,高强度聚焦超声睫状体成形术),外引流手术(如EX-PRESS微型引流钉植入术,Schlemm管成形术),内引流手术(如小梁网微分流支架istent植入术,内路小梁消融术)。本文将对近年MIGS的优缺点及适应证进行简单综述。

关键词：青光眼手术微创小管成形术高聚焦超声睫状体成形术 istent