中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2011年
12期
912-914
,共3页
Ahmed青光眼阀%青光眼%难治性
Ahmed青光眼閥%青光眼%難治性
Ahmed청광안벌%청광안%난치성
Ahmed aqueous humor drainage device%Glaucoma%Refractory
目的 探讨改良Ahm1ed青光眼阀治疗难治性青光眼的有效性和安全性.方法 20例(20眼)难治性青光眼行改良的引流装置(Ahmed青光眼阀)植入,术后观察眼压、滤过泡的形成,采用海德堡视网膜断层扫描仪Ⅱ( HRT-Ⅱ)随访比较视盘参数.结果 术后随访8个月以上,术后末次随访平均眼压与术前平均眼压比较,差异有统计学意义(P＜0.01).视盘沿面积(RA,m2)、盘沿体积(RV,mm3)、平均神经纤维层厚度(mRNFL,mm)与术前比较均有改善,差异有统计学意义(P＜0.05).结论 改良Ahmed青光眼阀植入,术后眼压控制效果明显,改善患眼视盘部分结构参数.
目的 探討改良Ahm1ed青光眼閥治療難治性青光眼的有效性和安全性.方法 20例(20眼)難治性青光眼行改良的引流裝置(Ahmed青光眼閥)植入,術後觀察眼壓、濾過泡的形成,採用海德堡視網膜斷層掃描儀Ⅱ( HRT-Ⅱ)隨訪比較視盤參數.結果 術後隨訪8箇月以上,術後末次隨訪平均眼壓與術前平均眼壓比較,差異有統計學意義(P＜0.01).視盤沿麵積(RA,m2)、盤沿體積(RV,mm3)、平均神經纖維層厚度(mRNFL,mm)與術前比較均有改善,差異有統計學意義(P＜0.05).結論 改良Ahmed青光眼閥植入,術後眼壓控製效果明顯,改善患眼視盤部分結構參數.
목적 탐토개량Ahm1ed청광안벌치료난치성청광안적유효성화안전성.방법 20례(20안)난치성청광안행개량적인류장치(Ahmed청광안벌)식입,술후관찰안압、려과포적형성,채용해덕보시망막단층소묘의Ⅱ( HRT-Ⅱ)수방비교시반삼수.결과 술후수방8개월이상,술후말차수방평균안압여술전평균안압비교,차이유통계학의의(P＜0.01).시반연면적(RA,m2)、반연체적(RV,mm3)、평균신경섬유층후도(mRNFL,mm)여술전비교균유개선,차이유통계학의의(P＜0.05).결론 개량Ahmed청광안벌식입,술후안압공제효과명현,개선환안시반부분결구삼수.
Objective To evaluate the efficacy of the implantation of modified Ahmed aqueous drainage device for refractory glaucoma.Methods 20 cases ( 20 eyes) of refractory glaucoma underwent modified aqueous humor drainage device implantation.The intraocular pressure (IOP),filtrating bleb and the disc were observed.Results The postoperative follow-up period was eight months.There was significant statistical difference between the preoperative and postoperative IOPs (P ＜ 0.05 ).There was significant statistical difference between the preoperative and postoperative RA,RV and mRNFL (P ＜ 0.05).Conclusion Aqueous humor drainage device implantation is an effective method in management of refractory glaucoma.
