眼科新进展2025，Vol.45Issue(6)：486-490,5.DOI:10.13389/j.cnki.rao.2025.0085
Kahook双刃刀内路小梁切除术与内路房角镜辅助经管腔内小梁切开术治疗POAG的术后早期疗效研究
Comparison of the early postoperative efficacy between Kahook dual blade internal trabeculectomy and internal gonioscope-assisted transluminal trabe-culotomy in the treatment of primary open-angle glaucoma
摘要
Abstract
Objective To investigate the early postoperative efficacy between Kahook dual blade(KDB)internal tra-beculectomy and internal gonioscopy-assisted transluminal trabeculotomy(GATT)in the treatment of primary open-angle glaucoma(POAG).Methods A total of 120 patients(120 eyes)with POAG were included and divided according to dif-ferent surgical treatment methods.Among them,62 patients(62 eyes)undergoing internal trabeculectomy by KDB were di-vided into Group A,and 58 patients(58 eyes)undergoing GATT were divided into Group B.Relevant data of patients in the two groups were collected,and the efficacy of the two surgical methods was compared.Results The intraocular pres-sure in both groups decreased 1 day,1 week,and 1 month after surgery compared with preoperative levels(all P＜0.05).However,there was no significant difference in the intraocular pressure measured at the above time points between the two groups(all P＞0.05).The type of drugs for reducing the intraocular pressure in both groups decreased significantly 1 day,1 week,and 1 month after surgery compared with preoperative levels(all P＜0.05).However,there was no significant difference in the type of drugs for reducing the intraocular pressure at the above time points between the two groups(all P＞0.05).There was no statistically significant difference in the total incidence of complications between Group A(45.16％)and Group B(39.66％)(P＞0.05).Specifically,the main complications in Group A included anterior chamber hemorrhage and intraocular pressure rebound,while those in Group B included anterior chamber hemorrhage and ciliary detachment.Conclusion Both KDB internal trabeculectomy and GATT can effectively reduce the intraocular pressure in patients with POAG and reduce the use of postoperative intraocular pressure-lowering drugs.There was no significant difference in surgical complications between the two surgical methods.The selection of surgical procedures in clinical prac-tice can be determined based on patients' wishes and actual situation.关键词
原发性开角型青光眼/Kahook双刃刀内路小梁切除术/内路房角镜辅助经管腔内小梁切开术/眼压/并发症Key words
primary open-angle glaucoma/Kahook dual blade internal trabeculectomy/internal gonioscopy-assisted transluminal trabeculotomy/intraocular pressure/complication分类
临床医学引用本文复制引用
段颖,崔明霞,张阳,树玲博,李楠..Kahook双刃刀内路小梁切除术与内路房角镜辅助经管腔内小梁切开术治疗POAG的术后早期疗效研究[J].眼科新进展,2025,45(6):486-490,5.基金项目
衡水市科技计划项目(编号:2023014066Z) （编号:2023014066Z）
