CAJ | 학술논문

目的评价可松解缝线预防Ahmed青光眼阀植入术后早期浅前房的效果.方法回顾性系列病例研究.30例(31眼)新生血管性青光眼(NVG)的临床资料,行Ahmed青光眼阀植入术中采用可松解缝线(可拆缝线及可吸收6-0 Vcry1 缝线结扎引流管),观察术后早期浅前房、眼压及手术成功率等.结果术后早期浅前房发生率为6.45%,术后早期高眼压发生率为12.90%,最后随访平均眼压(23.5±4.0)mmHg,完全成功率为54.84%,相对成功率为19.35%,总成功率为74.19%.结论青光眼阀植入术治疗NVG,术中采取可松解缝线可减少术后浅前房的发生率,不失为预防青光眼阀植入术后这种早期常见并发症的一种简单有效的方法.
목적 평개가송해봉선예방Ahmed청광안벌식입술후조기천전방적효과.방법 회고성계렬병례연구.30례(31안)신생혈관성청광안(NVG)적림상자료,행Ahmed청광안벌식입술중채용가송해봉선(가탁봉선급가흡수6-0 Vcry1 봉선결찰인류관),관찰술후조기천전방、안압급수술성공솔등.결과 술후조기천전방발생솔위6.45%,술후조기고안압발생솔위12.90%,최후수방평균안압(23.5±4.0)mmHg,완전성공솔위54.84%,상대성공솔위19.35%,총성공솔위74.19%.결론 청광안벌식입술치료NVG,술중채취가송해봉선가감소술후천전방적발생솔,불실위예방청광안벌식입술후저충조기상견병발증적일충간단유효적방법.
Objective To evaluate the effect of preventing the postoperative shallow anterior chamber at early stage by implanting Ahmed glaucoma valve with adjustable suture. Methods Thirty neovascular glaucoma cases (31 eyes) , who received the implantation of Ahmed glaucoma valve with adjustable suture (removable suture + ligating drainage tube with absorbable 6-0 Vcry1 suture) were retrospectively reviewed in the study. The postoperative early shallow anterior chamber, IOP and success rate of surgery was discussed. Results The incidence of postoperative early shallow anterior chamber was 6. 45% , postoperative early high IOP was 12.90% , the mean IOP in the last follow -up visit was (23.5 ±4.0)mmHg , The complete success rate was 54.84% , the relative success rate was 19.35% , the average success rate was 74.19%. Conclusion Applying the adjustable suture in the implantation of Ahmed glaucoma valve for neovascular glaucoma patients , which is a simple techinique, can effectively decreases the incidence of shallow anterior chamber postoperative.