摘要
目的 评价Ahmed青光眼阀门 (AGV)植入物手术治疗顽固性青光眼的临床效果 ,探讨其手术并发症以及处理。方法 对 3 0例顽固性青光眼施行Ahmed青光眼阀门植入术 ,其中包括 14例新生血管性青光眼 ,2例假晶状体性青光眼 ,4例无晶状体性青光眼 ,6例有滤过性手术失败史的青光眼与 4例伴有葡萄膜炎的青光眼 ,术后随访 3～ 18个月。结果 在术后平均 (9± 4)个月的随访期间眼压由术前的 (41 40± 8 0 3 )mmHg下降到 (2 0 55± 9 53 )mmHg ,总有效率为 86 7% ,其中新生血管性青光眼有效率占 85 7% ,其他类型有效率占 87 5%。手术并发症包括短暂性浅前房 ,脉络膜脱离 ,引流管内口堵塞等。结论 Ahmed青光眼阀门近期疗效高于其他房水引流植入物 ,可使因引流过畅所致的并发症明显减少 。
ObjectiveTo evaluate the short-term efficacy of Ah me d valve implantation for refractory glaucoma,and discuss operative complications and management.MethodsThirty patients of refractory glaucoma underwent Ahme d valve implantation,including 14 cases of neovascular glaucoma(NVG) and 16 case s of non-neovascular refractory glaucoma(NNVG).The mean period of postoperative follow-up was (9±4) (range 318) months.ResultsThe intracular pres sure was lowered from preoperative (41 40±8 03) mmHg to postoperative(20 55 ±9 53)mmHg during the follow-up.The total success rate was 86 7%,but 85 7% for neovascular glaucoma and 87 5% for the other ones.The common postoperative complications included transient flat anterior chamber,choroidal detachment,obst ruction of the tube tip and so on.ConclusionAhmed valve implantation is one of the effective methods for refractory glaucoma, and this method can be widely used in clinics.
出处
《眼科研究》
CSCD
北大核心
2003年第6期648-650,共3页
Chinese Ophthalmic Research
关键词
植人物
青光眼阀门
青光眼
并发症
implantation glaucoma valve glaucoma complication
