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Rebalancing translaminar pressure difference: a novel glaucoma surgery-a pilot trial in non-human primates

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机构: [1]Capital Med Univ, Beijing Tongren Hosp, Beijing 100730, Peoples R China [2]Tsinghua Univ, Beijing Tsinghua Changgung Hosp, Beijing 102218, Peoples R China [3]Capital Med Univ, Beijing Tongren Hosp, Beijing Inst Ophthalmol, Beijing 100730, Peoples R China
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关键词: translaminar pressure difference glaucoma surgery lamina cribrosa intraocular pressure

摘要:
circle AIM: To propose a novel glaucoma surgery for rebalancing translaminar pressure difference. circle METHODS: Three non-human primates with normal eyes and two with laser-induced glaucoma underwent the novel surgical procedure. Cannulation of the subarachnoid space was performed after completion of routine vitrectomy steps. An XEN 45 implant was inserted into the created puncture to communicate between the vitreous body and subarachnoid space. Intraocular pressure (IOP), fundus photography, and spectral-domain optical coherence tomography were assessed at baseline and regular intervals during follow-up. circle RESULTS: All operated eyes showed IOP reduction in the first postoperative month. Two (2/3) normal eyes and one (1/2) glaucomatous eye maintained lower IOP until 18mo after operation. The XEN 45 implant remained positioned through the lamina cribrosa in all normal eyes but was not detected in two glaucomatous eyes. Complications observed in this study included retinal vascular bleeding in 1/3 normal eyes and XEN implant dislocation in all 2 glaucomatous eyes. circle CONCLUSION: Subarachnoid space cannulation and mini-shunt implantation may contribute to IOP reduction, possibly by rebalancing translaminar pressure difference and enhancing aqueous humor drainage. The development of a suitable mini-shunt requires further investigation.

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出版当年[2025]版:
大类 | 4 区 医学
小类 | 3 区 眼科学
最新[2025]版:
大类 | 4 区 医学
小类 | 3 区 眼科学
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出版当年[2023]版:
Q2 OPHTHALMOLOGY
最新[2024]版:
Q3 OPHTHALMOLOGY

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第一作者机构: [1]Capital Med Univ, Beijing Tongren Hosp, Beijing 100730, Peoples R China
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通讯机构: [1]Capital Med Univ, Beijing Tongren Hosp, Beijing 100730, Peoples R China [3]Capital Med Univ, Beijing Tongren Hosp, Beijing Inst Ophthalmol, Beijing 100730, Peoples R China [*1]Beijing Tongren Hosp, 1 Dongjiaominxiang St, Beijing 100730, Peoples R China
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