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首页> 外文期刊>Journal of glaucoma >Kahook Dual Blade Ab-interno Trabeculectomy Compared With Conventional Goniotomy in the Treatment of Primary Congenital Glaucoma: 1-Year Results
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Kahook Dual Blade Ab-interno Trabeculectomy Compared With Conventional Goniotomy in the Treatment of Primary Congenital Glaucoma: 1-Year Results

机译：Khook双叶片Ab-Interno Trabececulectomy与常规的甘蓝术相比，治疗原发性先天性青光眼：1年的结果

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Supplemental Digital Content is available in the text. Introduction: Kahook dual blade (KDB) removes a strip of the trabecular meshwork from the angle, which may make it superior to simple goniotomy in treating the angle anomaly in primary congenital glaucoma (PCG). This prospective study compares KDB ab-interno trabeculectomy to conventional goniotomy in PCG. Methods: Forty-two eyes of 29 patients with PCG underwent ab-interno trabeculectomy using a KDB or conventional goniotomy using a 25-G irrigating needle, targeting 100 to 120 degrees of the nasal iridocorneal angle. Patients were seen at 1, 3, 6, and 12 months postoperatively. Success was defined as intraocular pressure (IOP) ≤21?mm?Hg at 1-year follow-up visit, with no evidence of glaucoma progression. Results: The KDB group included 21 eyes of patients with a median age of 6 months (interquartile range: 4 to 8.5?mo) and the goniotomy group included 21 eyes of patients with a median age of 5 months (interquartile range: 3 to 9.5?mo). There was a significant reduction in IOP in both groups at all follow-up visits. The reduction in the number of glaucoma medications was significant at 1, 3, and 6 months postoperatively in the KDB group, and at 1 month in the goniotomy group. There was no significant difference in IOP or glaucoma medications between both groups at any follow-up visit. Success was achieved in 12 eyes (57.1%) in each group, with no eyes developing any serious complications. Conclusion: One-year results show that KDB ab-interno trabeculectomy is at least as effective as goniotomy in the treatment of PCG. Eyes with bilateral glaucoma had a tendency to fail both procedures.
机译：文本中提供了补充数字内容。简介：Kahook dual blade（KDB）去除了角部的小梁网，这可能使其在治疗原发性先天性青光眼（PCG）的角异常方面优于单纯的房角切开术。这项前瞻性研究比较了KDB ab内小梁切除术和传统的PCG房角切除术。方法：29例PCG患者的42只眼接受了使用KDB的ab内部小梁切除术或使用25-G冲洗针的常规小梁切除术，目标是100至120度的鼻虹膜角。患者在术后1、3、6和12个月出现。成功的定义是眼压（IOP）≤21?嗯？随访1年，无青光眼进展迹象。结果：KDB组21眼患者的中位年龄为6个月（四分位范围：4到8.5个月），而淋病手术组21眼患者的中位年龄为5个月（四分位范围：3到9.5个月）。在所有随访中，两组患者的眼压均显著降低。KDB组术后1个月、3个月和6个月，以及淋病切除组术后1个月，青光眼药物数量显著减少。在任何随访中，两组的眼压或青光眼药物治疗均无显著差异。每组12只眼（57.1%）成功，无严重并发症。结论：一年的研究结果表明，KDB-ab内小梁切除术在治疗PCG方面至少与房角切开术一样有效。患有双侧青光眼的眼睛有两种手术都失败的倾向。

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