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首页> 外文期刊>American Journal of Ophthalmology: The International Journal of Ophthalmology >Clinical results of ab interno trabeculotomy using the trabectome for open-Angle glaucoma: The Mayo Clinic series in Rochester, Minnesota
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Clinical results of ab interno trabeculotomy using the trabectome for open-Angle glaucoma: The Mayo Clinic series in Rochester, Minnesota

机译：使用截肢器进行开角型青光眼的腹部小梁切开术的临床结果：明尼苏达州罗切斯特的梅奥诊所系列

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摘要

IN THEIR OTHERWISE WELL-WRITTEN ARTICLE, AHUJA AND associates' conclusions are inconsistent with their data. They report outcomes at 3 months or more using 4 definitions of success from 88 cases of Trabectome-only and 158 cases of combined Trabectome and phacoemulsification. Their outcome success A group included eyes with an intraocular pressure (IOP) of <21 mm Hg or >20% reduction. Their B group success included eyes with an IOP outcome of 18 mm Hg and >20% reduction in IOP. In addition, they included groups C and D, essentially the same as A and B but without additional glaucoma procedures as a failure criterion. Their subject retention rate was 70% for 1 year and 62% for 2 years. Preoperative mean IOP was 21.6 ± 8.6 mm Hg in the combined 246 cases and the number of glaucoma medications was 3.1 ± 1.1. At 24 months mean IOP was reduced 29% to 15.3 ± 4.6 mm Hg (P < .001) and glaucoma medications were down 38% to 1.9 ± 1.3 (P < .001). Statistically significant reductions in IOP lasted up to 36 months after surgery and medications up to 42 months.
机译：在其他文章中，AHUJA及其同事的结论与他们的数据不一致。他们报告了88例仅使用Tracectome的病例和158例Trabectome联合超声乳化术的4个成功定义，定义了3个月或更长时间的结果。他们的结果成功A组包括眼内压（IOP）小于21毫米汞柱或降低> 20％的眼睛。他们的B组成功手术包括IOP结果为18 mm Hg且IOP降低> 20％的眼睛。此外，他们包括C和D组，与A和B基本相同，但没有其他青光眼手术作为失败标准。他们的受试者保留率一年为70％，两年为62％。 246例患者术前平均眼压为21.6±8.6 mm Hg，青光眼用药数量为3.1±1.1。在24个月时，平均IOP降低29％至15.3±4.6 mm Hg（P <.001），青光眼药物降低38％至1.9±1.3（P <.001）。眼压的降低在统计学上持续至手术后长达36个月，药物治疗持续达42个月。

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