摘要
目的探讨Ahmed青光眼阀植入治疗难治性青光眼的效果及临床体会。方法回顾性研究2004年1月至2008年12月施行Ahmed青光眼阀植入术联合黏弹剂及异体巩膜瓣等治疗难治性青光眼23例(24眼)。结果术后1周、1月、3月及6月的平均眼压为(10.61±1.57)mmHg,(15.53±1.89)mmHg,(20.11±2.79)mmHg及(20.33±3.73)mmHg,均较术前平均眼压(44.59±3.20)mmHg为低,差异有统计学意义(P<0.001)。术后1周,手术成功率为95.83%。手术后6月,手术成功率为63.64%。术后常见并发症包括短暂性前房积血、早期低眼压、浅前房、脉络膜脱离及引流管管口阻塞。结论 Ahmed青光眼阀植入的同时,联合应用丝裂霉素C,前房内黏弹剂注入,异体巩膜瓣覆盖引流管以及引流管可吸收缝线的应用,减少了手术后的早期并发症,提高了手术的成功率。
Objective To explore the efficacy of Ahmed glaucoma valve （AGV） implantation for refractory glaucoma and clinical experience. Methods A retrospective series of case studies collected from January 2004 to December 2008 implementation of Ahmed glaucoma valve implantation combined viscoelastic agents and allogeneic sclera flap and other treatment of refractory glaucoma in 23 cases （24 eyes） . Results After 1 week,1 month,3 months and 6 months,the average IOP of 10. 61 ± 1. 57 mmHg, 15. 53 ± 1. 89 mmHg,20. 11 ± 2. 79 mmHg and 20. 33 ± 3. 73 mm- Hg,and preoperative mean IOP 44. 59 ± 3. 20 mmHg comparison,the difference was statistically significant （ P 0. 001） . One week after the surgery the success rate of 95. 83% （ 23 /24） . 6 months after surgery,surgical success rate of 63. 64% （ 7 /11） . Postoperative complications included transient hyphema,early hypotony, shallow anterior chamber,choroidal detachment and obstruction of drainage pipt. Conclusion Ahmed glaucoma valve （AGV） implantation at the same time,the joint application of mitomycin C, anterior chamber injection of viscoelastic agents,allogeneic scleral flap drainage tube drainage tube,as well as the application of absorbable suture,reducing the early post-operative complications improve the success rate of surgery.
出处
《眼外伤职业眼病杂志》
2010年第9期657-659,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
青光眼引流植入物
青光眼
丝裂霉素C
黏弹剂
巩膜瓣
异体
glaucoma drainage imp lants
glaucoma
mitomycin C
vscoelastic agents
allogeneic scleral flap
