中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2012年
5期
586-588
,共3页
Ahmed青光眼阀%难治性青光眼
Ahmed青光眼閥%難治性青光眼
Ahmed청광안벌%난치성청광안
Ahmed glaucoma valve%Refractory glaucoma
目的 探讨Ahmed青光眼阀植入治疗难治性青光眼的中长期临床效果.方法 采用巩膜长隧道Ahmed青光眼阀植入术治疗难治性青光眼30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(38.7±2.3)个月.结果 术后第1、2、3年平均跟压分别为(16.83±7.63) mm Hg,(17.18±8.35) mm Hg,(18.36±8.24) mm Hg,较术前平均眼压(34.51±6.41) mm Hg明显降低(P＜0.01).手术成功率第1、2、3年分别为86.67％、83.33％、76.67％.结论 采用巩膜长隧道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、中长期眼压控制较理想,保存患者残存视力,是治疗难治性青光眼的有效方法.
目的 探討Ahmed青光眼閥植入治療難治性青光眼的中長期臨床效果.方法 採用鞏膜長隧道Ahmed青光眼閥植入術治療難治性青光眼30例,觀察手術前後視力和眼壓的變化及術後併髮癥的情況,術後平均隨訪(38.7±2.3)箇月.結果 術後第1、2、3年平均跟壓分彆為(16.83±7.63) mm Hg,(17.18±8.35) mm Hg,(18.36±8.24) mm Hg,較術前平均眼壓(34.51±6.41) mm Hg明顯降低(P＜0.01).手術成功率第1、2、3年分彆為86.67％、83.33％、76.67％.結論 採用鞏膜長隧道Ahmed青光眼閥植入術治療難治性青光眼,操作簡便、術後恢複快、併髮癥少、中長期眼壓控製較理想,保存患者殘存視力,是治療難治性青光眼的有效方法.
목적 탐토Ahmed청광안벌식입치료난치성청광안적중장기림상효과.방법 채용공막장수도Ahmed청광안벌식입술치료난치성청광안30례,관찰수술전후시력화안압적변화급술후병발증적정황,술후평균수방(38.7±2.3)개월.결과 술후제1、2、3년평균근압분별위(16.83±7.63) mm Hg,(17.18±8.35) mm Hg,(18.36±8.24) mm Hg,교술전평균안압(34.51±6.41) mm Hg명현강저(P＜0.01).수술성공솔제1、2、3년분별위86.67％、83.33％、76.67％.결론 채용공막장수도Ahmed청광안벌식입술치료난치성청광안,조작간편、술후회복쾌、병발증소、중장기안압공제교이상,보존환자잔존시력,시치료난치성청광안적유효방법.
Objective To discuss the middle and long-term clinical effect of Ahmed glaucoma valve implantation for refractory glaucoma. Methods Thirty patients with refractory glaucoma underwent glaucoma surgery using Ahmed glaucoma valve which was implanted in long scleral tunnel.The changes of intraocular pressure (IOP),the vision acuity and postoperative complications were observed.Mean follow-up time was (38.7±2.3) months. Results At the postoperative year 1,the mean IOP was(16.83±7.63)mmHg and the successful rate was 86.67％; at the postoperative year 2,the mean IOP was(17.18±8.35)mmHg and the successful rate was 83.33％,at the postoperative year 3,the mean IOP was 18.36±8.24mmHg and the successful rate was 76.67％.The postoperative IOP was lower than preoperative IOP (34.51±6.41mmHg) obviously. Conclusions The glaucoma surgery using Ahmed glaucoma valve planted in long scleral tunnel is an effective method for refractory glaucoma,and this is a simple operation,rapid recovery,fewer complications.It can control IOP better in the middle and long-term and can remain the better vision.
