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首页> 外文期刊>Graefe's archive for clinical and experimental ophthalmology: Albrecht von Graefes Archiv fur klinische und experimentelle Opthalmologie >Increased rate of ptosis following glaucoma drainage device placement and other anterior segment surgery: a prospective analysis
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Increased rate of ptosis following glaucoma drainage device placement and other anterior segment surgery: a prospective analysis

机译：青光眼引流装置放置和其他前段手术后的皮息率增加：前瞻性分析

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Purpose To determine the degree and rate of ptosis in patients undergoing glaucoma and cataract surgery. Methods Patients undergoing cataract extraction (CE), trabeculectomy, or glaucoma drainage device (GDD) placement, or a combination, were consecutively enrolled by a sole surgeon. Eyelid measurements, including margin reflex distance 1 (MRD1) and levator function, were obtained preoperatively and at 1 and 3 months postoperatively. Primary outcome measures were the change in MRD1 pre- vs postoperatively; percentage of patients with ptosis (defined as MRD1 = 2 mm, and change in levator function. Results In total, 104 eyes of 73 patients underwent CE, trabeculectomy, or GDD placement and completed at least 1-month follow-up; 93 eyes of 65 patients completed 3-month follow-up. MRD1 decreased significantly in trabeculectomy and GDD groups at 1 and 3 months postoperatively, while it did not change in the CE group. The GDD group had a significant increase in percentage of patients with ptosis at 3 months postoperatively. Conclusion Patients who underwent glaucoma surgery, especially those who underwent GDD placement, were more likely to have postoperative ptosis than patients undergoing CE alone. High ptosis rates in patients undergoing glaucoma surgery may warrant preoperative counseling and post-operative referral to oculoplastic surgeons.
机译：目的，以确定经历青光眼和白内障手术的患者皮毒性程度和速率。方法由唯一的外科医生连续注册经历白内障萃取（Ce），TrabeceClectomy或Glaucoma引流装置（GDD）放置或组合的患者。眼睑测量，包括边缘反射距离1（MRD1）和测力功能，术后和在术后1和3个月内获得。主要结果措施是术后MRD1预期的变化;患者的百分比（定义为MRD1 = 2 mm，以及测力功能的变化。结果总共73名患者的104只患者接受了CE，TRABERECECTOMECTOM或GDD放置，并完成了至少1个月的随访; 93只眼睛65名患者完成了3个月的随访。MRD1在术后1和3个月的TRABECELEFULECTOMY和GDD组中显着下降，而CE集团没有发生变化。GDD组在3时患有3例患者的百分比显着增加术后几个月。结论接受青光眼手术的患者，特别是那些接受GDD放置的人，比单独接受CE的患者更容易具有术后脑病。接受青光眼手术的患者的高髓率可能需要术前咨询和术后转诊到OcuMoplastic外科医生。

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