Ua pio ka Javascript i kāu polokalamu kele pūnaewele.ʻAʻole e holo kekahi mau hiʻohiʻona o kēia pūnaewele inā pio ka JavaScript.
E hoʻopaʻa inoa me kāu kikoʻī kikoʻī a me ka lāʻau lapaʻau kikoʻī o ka hoihoi, a e hoʻohālikelike mākou i ka ʻike āu e hāʻawi ai me nā ʻatikala i loko o kā mākou waihona nui a leka uila iā ʻoe i kahi kope PDF koke.
Antonio M. Fea, 1 Andrea Gilardi, 1 Davide Bovone, 1 Michele Reibaldi, 1 Alessandro Rossi, 1 Earl R. Craven21 Diploma o ke Kulanui Ophthalmological Scientific o Turin, Turin, Italia;2 Johns Hopkins University, Baltimore, Maryland, USA ʻO Elmer Eye Institute Glaucoma Center of Excellence Mea kākau kūpono: Antonio M. Fea, +39 3495601674, leka uila [email protected] Abstract: PRESERFLO™ MicroShunt he mea hou no ka hana ʻana o ka glaucoma minimally invasive (MIGS). ) i hoʻokomo ʻia ab externo, hoʻokahe ʻia ka wai hoʻoheheʻe i loko o ka subconjunctival space.Ua hoʻomohala ʻia ma ke ʻano he lāʻau lapaʻau palekana a liʻiliʻi hoʻi no ka poʻe maʻi me ka glaucoma open-angle glaucoma (POAG).ʻO ke ala maʻamau i ka MicroShunt implantation e pili ana i nā ʻano hana koʻikoʻi, me ka hana ʻana i kahi ʻeke scleral liʻiliʻi me kahi ʻāpana 1mm, e hoʻokomo ana i kahi nila 25G (25G) ma o ka ʻeke scleral i loko o ke keʻena mua (AC), a laila 23-gauge lahilahi ( 23G ) Hoʻopau ka cannula i ka stent.Eia nō naʻe, ʻo ka hoʻokomo ʻana i ka nila i loko o ka ʻeke scleral e hana i kahi ala kūpono ʻole, e paʻakikī ai ke wili i ka hāmeʻa.ʻO ke kumu o kēia ʻatikala e hāʻawi i kahi ala maʻalahi o ke kanu ʻana.Manaʻo kā mākou hana i ka hana ʻana i kahi tunnel scleral me ka hoʻohana pololei ʻana i ka nila 25G a me ka hoʻohana ʻana i kēia nila 25G i ka limbus e pana iki i ka sclera i loko o ka AC.Ua hui ʻia ka MicroShunt ma kahi cannula 23G i hoʻopili ʻia i kahi syringe 1ml.A laila hiki ke holoi ʻia ka mea hana me kahi syringe.No laila, hiki ke hōʻoia koke ʻia ke kahe ʻana ma ka nānā ʻana i nā kulu wai e kahe ana mai nā puka waho o ka stent.Hiki i kēia ala hou ke loaʻa nā pōmaikaʻi like ʻole e like me ka hoʻomalu maikaʻi ʻana i ke kahua komo, ka pale ʻana i nā ala wahaheʻe, hoʻemi a hoʻopau ʻana paha i ka pilikia o ke kahe ʻana o ka wai hoʻohenehene, hoʻolaha i kahi ala like i ka mokulele iris, a ʻoi aku ka wikiwiki.Hua'ōlelo nui: MIGS, open-angle glaucoma, Preserflo, MicroShunt, glaucoma surgery, subconjunctival filtration.
I nā makahiki i hala iho nei, ua puka mai ka hōʻailona hōʻemi liʻiliʻi a i ʻole ka liʻiliʻi liʻiliʻi (MIGS) ma ke kahua o ka ʻokiʻoki glaucoma.1-5 Ua hoʻomohala ʻia kēia mau mea MIGS no ka mālama ʻana i nā poʻe maʻi i mālama ʻole ʻia me ka glaucoma open-angle glaucoma (POAG) e hoʻomaikaʻi ai i ka palekana me ka mālama ʻana i ka pono o ka hoʻohaʻahaʻa ʻana i ke kaomi intraocular (IOP).Hiki ke hoʻokaʻawale ʻia nā mea hana 1-5 MIGS i: trabecular, suprachoroidal, a me subconjunctival.1,3 Subconjunctival outflow e like me ka hana o ka trabeculectomy.Hoʻohālikelike ʻia i ka trabeculectomy, hāʻawi ia i ke kaomi intraocular postoperative haʻahaʻa, hāʻawi i nā kaʻina hana maʻamau a ʻoi aku ka palekana.1-5 Hoʻokumu ʻia nā mea hana subconjunctival a pau ma ka hoʻokomo ʻana i ka tubule.Ua hoʻohālikelike ʻia nā ana lumen o kēia mau mea me ka hoʻohana ʻana i ka hoʻohālikelike kahe Lamina Hagen-Poiseuille.1 ʻO ka mea maʻamau, koho ʻia ka lumen e pale i ka hypotension mau loa a lawa ka nui e pale aku ai i ka occlusion.
ʻOiai aia kekahi hoʻopaʻapaʻa e pili ana i ka noʻonoʻo ʻana iā MicroShunt e like me MIGS, no nā kumu o kēia palapala, e hoʻopili ʻia ka huaʻōlelo MIGS iā ia.Ua hoʻokomo koke ʻia ka PreserfloTM MicroShunt implant.6 Aia ka shunt he poloka polystyrene, he poloka isobutylene, he polymer styrene i hoʻohana mua ʻia ma ke ʻano he stent coronary no ka mea he liʻiliʻi ka mumū a me ka encapsulation.7,8 He 8.5 mm ka lōʻihi o ka mea hana a he 70 µm kona lumen e hoʻomalu i ke kahe a mālama i ka IOP ma luna o 5 mmHg.(me ka awelika hana wai).8 ʻO ka lōʻihi o ka hāmeʻa e hiki ai ke kahe nui o ka wai ma hope, no laila ua ʻōlelo ʻia kahi ʻoki ākea hope.
Ma keʻano laulā, ʻo ka oblique quadrant ka wahi i makemake ʻia no ka hoʻokomo ʻana no ka mea e pale aku i ke komo ʻana i ka ʻiʻo rectus kiʻekiʻe.Ua ʻokoʻa nā manaʻo o ka Mitomycin-C (MMC) a me nā manawa hōʻike ma muli o nā kumu pilikia a i ʻole ka ʻike kauka.9-16
Kuhi ʻia kēia ʻike pōkole e wehewehe i nā hoʻololi hou aʻe i ke kaʻina hana no ka hoʻokomo ʻana i ka MicroShunt wikiwiki a maʻalahi.
Ua ʻae ʻia ka loiloi o nā moʻolelo olakino e ke Kōmike Ethics o ke Kulanui o Turin.No ka mea he loiloi hope kēia o nā moʻolelo lapaʻau, ua hoʻokuʻu ke kōmike ethics i ke koi e loaʻa i ka ʻae i kākau ʻia e komo i ke aʻo ʻana.Eia naʻe, hāʻawi nā mea komo a pau i ka ʻae i kākau ʻia ma mua o ka hana ʻana.
No ka hōʻoia ʻana i ka pilikino o ka poʻe maʻi, ʻike ʻole ʻia kā lākou ʻike ma o ka hoʻohana ʻana i nā mea hōʻike kūʻokoʻa.Ua hahai ka protocol study i nā loina o ka Declaration of Helsinki and the Guidelines for Good Clinical Practice/International Coordinating Committee.
ʻO ka haʻawina i kēia manawa ua komo nā poʻe maʻi POAG ≥18 mau makahiki a me nā maʻi i mālama ʻia i ka lāʻau me ka IOP preoperative ≥23 mmHg i loaʻa i ka implantation MicroShunt kūʻokoʻa.
Hāʻawi ʻia ʻo PRESERFLOTM MicroShunt (Santen ex Innfocus, Miami, FL, USA) i loko o kahi pahu hōʻailona sterile i loaʻa kahi māka scleral 3 mm, kahi pahi triangular 1 mm, 3 LASIK ShieldsTM (EYETEC, Antwerp, Belgium), kahi māka a me ka nui 25. nila (25G).
Ma mua o ka hoʻohana ʻana i ka MicroShunt, ʻōlelo ka mea hana i ka hoʻopiha ʻana me kahi cannula 23G, ʻaʻole i hoʻokomo ʻia i loko o ka pahu.
ʻOiai he mea ʻoi aku ka maʻa o nā kauā glaucoma i ke kaʻina hana implant maʻamau, hiki ke paʻakikī kekahi o nā ʻanuʻu.ʻO ka mea nui, i ka wā e paheʻe ai ka nila 25G, hiki i kona piko ke hana i kahi ala kūpono ʻole / hewa ʻole i kahi mokulele ʻē aʻe a i ʻole ke komo ʻana i ke keʻena mua me ka hiki ʻole i ka piko o ka tunnel scleral.He mea paʻakikī loa ka hoʻomalu ʻana i ke ala o ka nila 25G no ka mea ʻo ka hakahaka o loko o ka tunnel scleral he virtual, a i ʻole ka lahilahi loa (e nānā i ka Fig. 1).
Kiʻi 1. Nānā i nā pae nui o ka ʻenehana hou.(A) Hoʻolālā ʻia ka nila e komo i ka sclera 3 mm mai ka lihi.(B) Ke hiki ka nila i ka limbus, hoʻokuʻu ʻia i lalo.(C) Komo ka nila i ke keena mua.(D) Ma hope o ka hana ʻana i kahi tunnel me kahi pahi triangular, ʻaʻole hiki i ke ala o ka nila i hoʻohana ʻia e komo i ke keʻena mua ke hahai i ka tunnel, e hana ana i kahi ala wahaheʻe.
I kekahi mau hihia, hiki i kēia pilikia ke hoʻokomo i ka microshunt i loko o ke keʻena mua (AC) paʻakikī no ka mea ua paʻa kona piko i ka tunnel.Eia kekahi, ʻoi aku ka paʻakikī o kēia manipulation i nā maka me ka anatomi limbal abnormal.
Eia kekahi, inā hāʻule ka lua o ka hoʻāʻo ʻana, hiki ke koi ʻia ke kauka lapaʻau e hoʻokomo i ka hāmeʻa ma kahi ʻoi aku ka maikaʻi.ʻOi aku ka maʻalahi o kēia pūnaewele i ka ʻili ma hope o ka loaʻa ʻana o ka rectus abdominis kiʻekiʻe.
No ka pale ʻana i kēia pilikia, hoʻokahi koho e hoʻokomo i ka AK me ka piko o kahi microknife i hoʻohana ʻia e hana i kahi ʻeke scleral.ʻOiai mālama kēia ʻano i ka manawa a pale i ka hana ʻana i nā paukū hewa, hiki ke paʻakikī ke koho i ka lōʻihi o kahi AC e hiki mai ana.Eia kekahi, ʻo ke ʻano triangular o ka pahi e wehewehe i kahi ala nui, e hana ana i kahi kahe lateral i ka wā postoperative mua.Wahi a ke kānāwai o Poiseuille, hoʻopau ke kahe ʻaoʻao i nā hoʻāʻo e hana i kahi kahe wai i hāʻawi ʻia mai ka AC, hiki ke kōkua i ka ulu ʻana o ka hypotension.
Hāʻawi kā mākou ʻenehana ʻokiʻoki i ʻelua hoʻomaikaʻi ma mua o nā kaʻina hana kuʻuna.ʻO ka mea mua e hoʻohana pololei i kahi nila 25G ma ke ʻano he tunnel.Ma ke ʻano he lua o ka hoʻomaikaʻi ʻana, manaʻo kā mākou ʻenehana e hoʻopili i kahi cannula 23G, i hoʻohana maʻamau ʻia no ka aspiration aila silicone, i ka hope hope o ka MicroShunt.No laila, hiki i ke kauka lapaʻau ke holoi pololei i ka mīkini i ka wā e hoʻokomo ai i ke kaula.
ʻO ka hoʻohana ʻana i kahi nila 25G e hana i kahi tunnel e hoʻomaʻamaʻa i ke kaʻina hana no ka mea e hoʻopau ana i ka pono o kahi ʻeke scleral a hoʻemi nui i ka wahi scleral i komo i ke kaʻina hana.Eia hou, kōkua kēia hoʻomaikaʻi ʻana i ka hōʻemi ʻana i ka pōʻino lōʻihi i nā cell endothelial ma ke kaomi ʻana i ka sclera i kona hoʻokokoke ʻana i ka limbus, a laila e komo i ka iris i kahi mokulele like ʻole (e nānā i ke kiʻi 1 a me ka wikiō hoʻohui).
ʻO ka lua o ka hoʻomaikaʻi ʻana i hāʻawi ʻia e ka ʻenehana hou ʻo ia ka hoʻohana ʻana i kahi cannula 23 G, e like me ka cannula i hoʻohana mau ʻia no ka aspiration aila silicone.Hoʻoponopono maikaʻi kēia cannula 23G i ka MicroShunt a maʻalahi ia e holoi.Eia kekahi, ʻo ka wai i hoʻokomo ʻia i loko o ka AC e hoʻonui i ke kaomi, e ʻae ana i ka wai hoʻoheheʻe e kahe ma ka ʻaoʻao mamao o ka hāmeʻa (e nānā i ke Kiʻi 1 a me ka wikiō hoʻohui).
ʻO kā mākou ʻike lapaʻau he 15 mau maka mai nā maʻi 15 OAG i loaʻa i kahi microshunt kūʻokoʻa a hahai ʻia no 3 mau mahina.ʻOiai aia nā ʻikepili e pili ana i nā lāʻau hoʻohaʻahaʻa i ke kaomi intraocular a me nā lāʻau hoʻohaʻahaʻa hoʻohaʻahaʻa intraocular, ʻo kā mākou pahuhopu nui ka nānā ʻana i nā pilikia postoperative mua.
ʻO nā maʻi a pau he Caucasian, median (interquartile range, IqR) makahiki he 76.0 (ma waena o 71.8 a 84.3) makahiki, 6 (40.0%) he wahine.Hōʻuluʻulu ʻia nā hiʻohiʻona nui a me nā ʻano lapaʻau ma ka Papa 2.
Ua emi iho ka Median (IqR) IOP mai 28.0 (27.0 a i 32.5) mm Hg.Art.i ka hoʻomaka ʻana o ke aʻo ʻana i 11.0 (10.0 a 12.0) mm Hg.Art.ma hope o 3 mau mahina (Hodges-Lehman median median: -18.0 mmHg, 95% confidence interval: -22.0 to -14.0 mmHg, p = 0.0010) (Fig 2).Pēlā nō, ua emi nui ka helu o nā lāʻau antihypertensive ophthalmic mai 3.0 (2.2-3.0) lāʻau ma ka baseline i 0.0 (0.0-0.12) mau lāʻau ma 3 mau mahina (Hodges-Lehman mean ʻokoʻa: -2.5 mau lāʻau) Laʻau, 95% CI: -3.0 i ka -2.0 Laau Laau, p = 0.0007).Ma hope o 3 mau mahina, ʻaʻohe o nā mea maʻi i lawe i nā lāʻau ʻōnaehana e hoʻohaʻahaʻa i ka IOP.
Kiʻi 2 Mean intraocular pressure ma ka hahai ʻana.Hōʻike nā pahu kū pololei i nā pae waena. *p <0.005 i hoʻohālikelike ʻia me ka papa kuhikuhi (Friedman test and post hoc analysis for pairwise comparisons were done with the Conover method). *p <0.005 i hoʻohālikelike ʻia me ka papa kuhikuhi (Friedman test and post hoc analysis for pairwise comparisons were done with the Conover method). * p <0,005 по сравнению с исходным уровнем. * p <0.005 i hoʻohālikelike ʻia me ka papa kuhikuhi (ka hoʻāʻo ʻana a Friedman a me ka nānā ʻana i ka post hoc no nā hoʻohālikelike pālua i hana ʻia e ke ʻano o Conover). *p < 0.005 与基线相比（弗里德曼检验和成对比较的事后分析是使用Conover 方法完成。 *p < 0.005 * p <0,005 по сравнению с исходным уровнем Коновера). * p <0.005 i hoʻohālikelike ʻia me ka papa kuhikuhi (ka hoʻāʻo ʻana a Friedman a me ka nānā ʻana i ka post hoc no nā hoʻohālikelike pālua i hana ʻia me ke ʻano o Conover).
Ua emi nui ka nānā 'ana i ka lā 1, ka pule 1, a me ka mahina 1 i ka ho'ohālikelike 'ana i nā waiwai preoperative, akā ua ho'iho'i hou 'ia a ho'opa'a 'ia mai ka mahina 2 (Fig. 3).
Laiki.3. Nānā i ka median maximally corrected distance visual acuity (BCDVA) i ka wā hahai.Hōʻike nā pahu kū pololei i nā pae waena. *p <0.01 i hoʻohālikelike ʻia me ka papa kuhikuhi (Friedman test and post hoc analysis for pairwise comparisons were done with the Conover method). *p <0.01 i hoʻohālikelike ʻia me ka papa kuhikuhi (Friedman test and post hoc analysis for pairwise comparisons were done with the Conover method). *p < 0,01 по сравнению с исходным уровнем. *p <0.01 i hoʻohālikelike ʻia me ka papa kuhikuhi (ka hoʻāʻo ʻana a Friedman a me ka nānā ʻana i ka post hoc no ka hoʻohālikelike pālua i hana ʻia me ke ʻano o Conover). *p < 0.01 与基线相比（Friedman 检验和成对比较的事后分析是使用Conover 方法完成的）。 *p <0.01 *p < 0,01 по сравнению с исходным уровнем Коновера). *p <0.01 i hoʻohālikelike ʻia me ka papa kuhikuhi (ka hoʻāʻo ʻana a Friedman a me ka nānā ʻana i ka post hoc no nā hoʻohālikelike pālua i hana ʻia me ke ʻano o Conover).
E pili ana i ka palekana, ʻelua (13.3%) mau maka i hoʻomohala i kahi hyphema (ma kahi o 1 mm) i ka lā postoperative mua, i hoʻoholo piha ʻia i loko o hoʻokahi pule.Ua hoʻopau ʻia ka choroidal detachment i ʻekolu maka (20.0%), i hoʻoholo maikaʻi ʻia me ka lāʻau lapaʻau i loko o hoʻokahi mahina.ʻAʻohe o ka poʻe maʻi i koi aku i ke kaʻina hana hou.
ʻO ka ʻikepili i loaʻa i kēia manawa e loiloi ana i ka maikaʻi a me ka palekana o MicroShunt e hōʻike i nā hopena hoʻohiki, ʻoiai ua kaupalena ʻia.9-16 He mea koʻikoʻi ka ʻike o ke kauā a me nā hopena lapaʻau i ka hoʻomaikaʻi ʻana a me ka maʻalahi o ka ʻenehana ʻoki.
Ma kēia ʻatikala, manaʻo mākou e hōʻike i kahi ʻenehana wikiwiki, kūpaʻa, a maʻalahi hoʻi no ka hoʻokomo ʻana i kēia hāmeʻa.Ua hoʻolālā ʻia nā ʻikepili lāʻau lapaʻau no ke ʻano e ʻimi i nā pilikia mua e pili ana i ke ʻano, a ʻaʻole hoʻi e nānā i kona pono.
He ʻelua ʻaoʻao ʻaoʻao o ka hāmeʻa, ʻo ka hana theoretical e pale i ka holo ʻaoʻao a me ka neʻe ʻana o ka MicroShunt.6,8 Nā hana kuʻuna e hoʻohana i ka pahi triangular no ka hana ʻana i kahi ʻeke scleral pāpaʻu ma hope o ka limbus a me 3 mm kokoke i ka limbus e hoʻokomo i kēia mau ʻaoʻao.Eia naʻe, ʻo kona lōʻihi a me ka ʻoiaʻiʻo o ka hoʻomaka ʻana o ka ʻeke scleral i ka 3 mm mai ka limbus e hopena i ka mea e puka nui ana i loko o ke keʻena mua.Ma muli o kēia, ʻaʻole mākou e hoʻokomo i nā mea i hoʻopaʻa ʻia ma lalo o ka ʻeke scleral i ka wā e hoʻohana ai i ka ʻenehana maʻamau e pale i ka ulu nui ʻana o ka hāmeʻa ma ke keʻena mua.
Me kā mākou ʻenehana, manuahi ka stent e neʻe a hoʻoneʻe ʻia no ka mea hiki ke loaʻa nā iwi ʻaoʻao ma lalo o ka capsule Tenon.Eia naʻe, pono e hoʻokūpaʻa ʻia ʻaʻohe dislocation i hiki mai i kā mākou hāpana.
ʻO ka hoʻohana ʻana i nā nila no ka hana ʻana i nā tunnels scleral no nā mea hoʻoheheʻe i hoʻokomo ʻia ʻaʻole ia he mea hou.ʻO Albis-Donado et al.[17] hōʻike i nā hopena lapaʻau maikaʻi i nā poʻe maʻi e hoʻokomo ʻia i ka pahu pahu Ahmed no ka glaucoma ma o kahi tunnel scleral i hana ʻia e ka nila me ka hoʻohana ʻole ʻana i kahi ʻāpana uhi uhi.
I kā mākou ʻenehana, ua hoʻohana mākou i ka 25G me kahi anawaena o waho o 0.515 mm a me ka lōʻihi o ke ala o 3 a 4 mm, ua lawa ia e hoʻopaʻa paʻa i ka hāmeʻa.Hāʻawi ʻia ke anawaena o waho o MicroShunt o 0.35mm, me ka hoʻohana ʻana i kahi stylus liʻiliʻi hiki ke hopena i ka paʻa paʻa a me ka liʻiliʻi o ke kahe ʻaoʻao.Hiki ke hoʻohana ʻia nā Needles 26 (0.466), 27G (0.413), a i ʻole 28G (0.362), akā ʻaʻohe o mākou ʻike me nā nila liʻiliʻi.Pono nā haʻawina ʻokoʻa a lōʻihi e loiloi i kēia mau koho.
ʻO kekahi pilikia e pili ana i kēia ʻenehana ʻo ka scleral erosion.Eia naʻe, pono e hoʻomaopopo ʻia ua wehewehe ʻia kahi ʻenehana like me ka 20G18 microvitreoretinal blade a i ʻole ka nila 22-23G17 nui aʻe no nā implants Molteno me ka ʻole o ka neʻe ʻana a i ʻole erosion18 a me Ahmed me ka liʻiliʻi o ka hoʻihoʻi ʻana o ka paipu (4/186).17
He ʻoi aku ka maikaʻi o ka ʻenehana nilala ma mua o nā ʻano hoʻololi kuʻuna, e like me ke kaʻina hana wikiwiki, kahi hoʻololi paʻa ma waena o ka conjunctiva a me ka cornea, a me ka haʻahaʻa o ka dellen a me ka ʻeha ʻeha.17,18 Eia kekahi, ua hōʻike ʻia nā haʻawina ʻelua e pili ana ka nele o ka corrosion me kahi paʻa paʻa ma waena o ka paipu a me ka tunnel, e hopena ai i ka liʻiliʻi o ka galling a me ka lole.17.18
Ma ke ʻano o ka palekana, ʻoi aku ka kiʻekiʻe o ka nui o nā hoʻopiʻi postoperative ma mua o ka hōʻike ʻana ma nā ʻatikala ʻē aʻe, akā pono e hoʻomaopopo ʻia ua mālama nui mākou i ka hōʻike ʻana i nā hoʻopiʻi prosaic i kēia ʻatikala, akā ʻaʻohe o kēia mau pilikia i koʻikoʻi koʻikoʻi. .
ʻOiai ʻaʻole i hōʻike ʻia ka loaʻa ʻana o nā tunnels wahaheʻe i nā haʻawina mua9-16, hiki i kēia hoʻopiʻi intraoperative ke hana a hoʻokumu i kahi tunnel ʻaoʻao ʻē aʻe, e hoʻonui ana i ka hopena o ka hyphema a me ka lawe ʻana i kahi ākea.kūlana maikaʻi ʻole.
ʻO kēia hōʻike pōkole he mau palena e pono e ʻōlelo ʻia.ʻO kēia mau mea, ʻo ka mea nui ka nui o ka laʻana, ka manawa hahai pōkole, a me ka nele o kahi pūʻulu mana.Eia nō naʻe, wehewehe kēia ʻatikala i kahi ala e hoʻomaikaʻi nui ai i ka hoʻokomo ʻana i kahi microshunt me ka helu like o nā pilikia intraoperative a me nā hoʻopiʻi postoperative mua e like me nā ʻano hana maʻamau.9-16
I ka hopena, ʻo ka hoʻohana ʻana i kahi nila e hana i kahi ala intrascleral i hōʻike i nā hopena hoʻohiki i kēia pūʻulu liʻiliʻi o nā maʻi.Hiki ke hoʻohana nui ʻia ke hoʻohana ʻia i ka wā e kaupalena ʻia ai ka nui o nā lako ʻē aʻe.Pono e noiʻi hou aʻe e hoʻoholo i ke kūpaʻa lōʻihi o kēia ʻenehana a me nā pono kūpono o nā nila liʻiliʻi.
Hāʻawi ʻia nā lawelawe lāʻau lapaʻau a me nā lawelawe hoʻoponopono e Antonio Martínez (MD), Ciencia y Deporte SL, me ke kālā palena ʻole mai ke Kulanui o Turin.
Mahalo pū nā mea kākau iā A Mazzoleni, L Guazzone, C Caiafa, E Suozzo, M Pallotta, a me M Grindi no kā lākou hui ʻana i ka wā o ke aʻo ʻana.
ʻO Kauka Antonio M. Fea he kākā'ōlelo no Glaukos, Ivantis, iSTAR, EyeD, a he kākā'ōlelo uku no AbbVie, ma waho aʻe o ka hana i hōʻikeʻia.He limahana ʻo Kauka Earl R. Craven i kēia manawa no AbbVie a hōʻike i nā lilo pilikino iā Santen ma waho o ka hana i hōʻike ʻia.ʻAʻole hōʻike nā mea kākau i nā paio ʻē aʻe o kēia hana.
1. Ansari E. Nā ʻike hou i nā implants no ka liʻiliʻi invasive glaucoma surgery (MIGS).waimaka.2017;6(2):233–241.doi: 10.1007/s40123-017-0098-2
2. Bar-David L., Blumenthal EZ ʻO ka hoʻololi ʻana o ke kaʻina glaucoma i nā makahiki he 25 i hala.Rambam Maimonides Med J. 2018;9(3):e0024.DOI: 10.5041/RMJ.10345.
3. Mathew DJ, kūʻai ʻia e YM.ʻO ke kīʻaha glaucoma invasive liʻiliʻi: kahi loiloi koʻikoʻi o ka palapala.Annu Rev Vis Sci.2020;6:47-89.doi:10.1146/annurev-vision-121219-081737
4. Vinod K., Gerd SJ Ka palekana o ka hoʻokēʻai glaucoma liʻiliʻi.Kurr Opin Ophthalmology.2021;32(2):160-168.doi: 10.1097/ICU.00000000000000731
5. Pereira ICF, van de Wijdeven R, Wyss HM et al.ʻO nā implants glaucoma kahiko a me nā polokalamu MIGS hou: he loiloi piha o nā koho o kēia manawa a me nā kuhikuhi e hiki mai ana.Maka.2021;35(12):3202–3221.doi: 10.1038/s41433-021-01595-x
6. Lee RMH, Bouremel Y, Eames I, Brocchini S, Khaw PT.ʻO ka unuhi ʻana o nā mea hana no ka hōʻoki ʻana i ka glaucoma liʻiliʻi.ʻO ka ʻepekema o ka unuhi lapaʻau.2020;13(1):14-25.doi: 10.1111/cts.12660
7. Pinchuk L, Wilson J, Barry JJ et al.Hoʻohana lāʻau i ka poly(styrene-block-isobutylene-block-styrene) (“SIBS”).mea olaola.2008;29(4):448–460.doi:10.1016/j.biomaterials.2007.09.041
8. ʻO Beckers Yu.M., Pinchuk L. ʻO ka hana glaucoma liʻiliʻi invasive me ka hoʻohana ʻana i kahi Ab-exerno subconjunctival shunt hou - kūlana a me ka loiloi palapala.ʻEulopa Ophthalmological Edition 2019;13(1):27–30.hana: 10.17925/EOR.2019.13.1.27