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Clinical significance of episcleral venous fluid wave in gonioscopy-assisted transluminal trabeculotomy

International Journal of Ophthalmology(English edition) 2023年第12期16卷 1971-1976页

作者： Liu-Zhi Zeng Yu He Xiao-Qin Wang Yi-Ping Xian Han-Ying Fan Lin Jing Jing Shu Qin Li Ning-Li Wang Department of Ophthalmology Chengdu First People’s Hospital/Chengdu Integrated TCM and Western Medicine HospitalChengdu 610041Sichuan ProvinceChina Beijing Tongren Eye Center Beijing Institute of OphthalmologyBeijing Tongren HospitalCapital Medical UniversityBeijing 100730China

AIM:To evaluate the clinical significance of checking episcleral venous fluid wave(EVFW)during gonioscopyassisted transluminal trabeculotomy(GATT)in patients with open angle glaucoma(OAG).METHODS:This retrospective case series study comprised 30 patients(45 eyes)with OAG underwent *** location and extent of EVFW were examined and graded after intraoperative compression flushing of the anterior chamber angle during the *** were followed up for 1y.A complete success for surgery is defined as a postoperative intraocular pressure(IOP)<18 mm Hg without any anti-glaucoma ***<18 mm Hg with less than two anti-glaucoma medications is defined as qualified success,while the control of IOP requiring three anti-glaucoma medications is considered as ***:The mean IOP was 35.38±7.16 mm Hg before surgery and 15.52±4.22 mm Hg 1y after surgery(P<0.01).The average number of anti-glaucoma medication was 2.8±1.2(2-4)preoperation and 0.6±1.3(0-3)1y postoperation(P<0.01).The success rate of the operation was 93.33%.Complete success rate was 66.67%,qualified success rate was 26.67%,and 6.66%of unsuccessful cases required *** of all cases was grade 2-4,and the percentages of grade 2,3 and 4 were 33.33%,40.0%and 26.67%,*** distribution and percentage of EVFW were inferior(36%),nasal(28%),superior(20%),and temporal(16%).The EVFW grade of complete success patients was 3.4±0.6(3-4),and that of qualified success patients was 2.6±1.0(2-4).The larger the range of EVFW,the lower the IOP,and the better the IOP reduction ***:During GATT surgery,pressurized irrigation of anterior chamber to check EVFW can reduce the outflow resistance of aqueous humor and increase the effect of postoperative *** range of EVFW is negatively correlated with postoperative ***,EVFW may be a valuable prognostic indicator for the success of GATT surgery.

关键词： episcleral venous fluid wave intraocular pressure transluminal trabeculotomy,gonioscopy-assisted anti-glaucoma medication postoperative complications

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