摘要
目的:探讨Ahmed青光眼阀植入治疗难治性青光眼的临床效果。方法:采用Ahmed青光眼阀植入术治疗难治性青光眼18例,观察手术前后视力和眼压的变化及术后并发症的情况,术后平均随访3～12mo。结果:术后1mo时眼压由术前51.53±6.57mmHg降至16.82±5.63mmHg,总成功率为95%;随访3mo时,眼压由术前51.53±6.57mmHg降至17.14±6.38mmHg,总成功率为89%;随访≥12mo者15眼,眼压由术前50.36±7.92mmHg降至18.35±7.24mmHg,总成功率为73%。结论:采用Ahmed青光眼阀植入术治疗难治性青光眼,操作简便、术后恢复快、并发症少、眼压控制较理想,保存患者残存视力,是治疗难治性青光眼的有效方法。
AIM：To explore the clinical effect of the Ahmed glaucoma valve implantation for treetment of refractory glaucoma.
METHODS：Totally 18 patients with refractory glaucoma underwent glaucoma surgery using Ahmed glaucoma valve.The changes of intraocular pressure,the vision and postoperative complications were observed. Follow-up time was from 3 to 12 months.
RESULTS：At the postoperative month 1,the intraocular pressure was changed from 51.53±6.57mmHg to 16.82±5.63mmHg, and the successful rate was 95%; at the postoperative month 3, the intraocular pressure was changed from 51.53±6.57mmHg to 17.14±6.38mmHg, and the successful rate was 89%; for those eyes with the follow-up ≥12 months（n=15）, the intraocular pressure was changed from 50.36±7.92mmHg to 18.35±7.24mmHg, and the successful rate was 73%.
CONCLUSION：The glaucoma surgery using Ahmed glaucoma valve is an effective method for refractory glaucoma, and this is a simple operation, rapid recovery, fewer complications, better intraocular pressure and vision.
出处
《国际眼科杂志》
CAS
2010年第12期2340-2341,共2页
International Eye Science
关键词
青光眼阀
难治性青光眼
glaucoma valve
refractory glaucoma
