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A randomized trial of the long-term effects of digital ocular compression in the late postoperative period.

机译:术后晚期数字化眼压的长期影响的随机试验。

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PURPOSE: To determine whether digital ocular compression is a viable technique to lower intraocular pressure in patients at least 3 months after trabeculectomy. PATIENTS AND METHODS: A 6-month prospective, randomized, controlled, single-masked trial of 29 patients who underwent a trabeculectomy at the Glaucoma Service of Wills Eye Hospital. Patients were assigned to two groups: ocular compression or cheekbone compression (control group). The ocular compression group performed compression to the operated eye three times a day in the pattern of 10 seconds of pressure, 5 seconds of rest, and 10 seconds of pressure. Pressure was applied with the index finger through the closed lid to the center of the cornea. Pressure was steady and firm, but not painful. No massaging was performed. The cheekbone compression group applied pressure to the zygomatic arch with an identical style and frequency. RESULTS: At 6 months, the change in mean intraocular pressure for the ocular compression group was 0.25 mm Hg compared with -0.44 mm Hg for the control group (P = 0.7). A few patients in both groups experienced large swings in intraocular pressure and mild to moderate discomfort. CONCLUSION: Ocular compression had little to no success in the long-term management of increased intraocular pressure in the late postoperative period in this study.
机译:目的:确定小梁切除术后至少3个月,数字眼压是否是降低患者眼压的可行技术。患者与方法:一项为期6个月的前瞻性,随机对照,单掩盖试验,对29例在Wills Eye Hospital青光眼服务中心接受小梁切除术的患者进行了研究。将患者分为两组:眼压或che骨压迫(对照组)。眼压组每天以10秒压力,5秒休息和10秒压力的方式对手术的眼睛进行3次压迫。用食指通过闭合的盖子向角膜中心施加压力。压力稳定而坚定,但并不痛苦。没有进行按摩。 compression骨压缩组以相同的样式和频率向pressure弓施加压力。结果:在6个月时,眼压组的平均眼内压变化为0.25 mm Hg,而对照组为-0.44 mm Hg(P = 0.7)。两组中的几例患者的眼内压波动较大,轻度至中度不适。结论:本研究在术后后期长期眼压升高的长期处理中,眼压几乎没有或没有成功。

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