摘要
目的：回顾分析玻璃体切割全视网膜光凝术联合Ahmed阀植入治疗新生血管性青光眼的疗效。方法：新生血管性青光眼15例15眼,行玻璃体切割术、全视网膜光凝术、Ahmed阀植入,合并的白内障同时超声乳化吸除,术后随访12~36mo,观察手术前后视力、眼压改变、新生血管消退情况和并发症等。结果：术后15眼中10眼视力不同程度提高。术后1,6,12mo眼压与术前眼压的差异均具有统计学意义（P〈0.01）。术后虹膜新生血管消退。无严重并发症。结论：玻璃体切割全视网膜光凝术联合Ahmed阀植入能有效治疗新生血管性青光眼。
AIM： To evaluate the efficacy of vitrectomy and pan-retinal photocoagulation followed with Ahmed implantation in management of neovascular glaucoma（ NVG） retrospectively.METHODS： Vitrectomy combined with pan retinal photocoagulation and Ahmed implantation was performed on 15 cases（ 15 eyes） with NVG. All patients were followed up for 12 ~ 36 mo. The change of intraocular pressure（ IOP）,visual acuity,neovascularization of iris,complications were observed.RESULTS： The visual acuity of 10 eyes was improved postoperative. IOP of postoperative 1,6 and 12 mo were decreased significantly compared with preoperative（ P 〈0. 01）. Neovascularization of iris was reduced dramatically. No serious complications occurred.CONCLUSION： Vitrectomy combined with pan retinal photocoagulation followed Ahmed implantation can manage NVG effectively.
出处
《国际眼科杂志》
CAS
2015年第4期717-719,共3页
International Eye Science
