国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
3期
490-492
,共3页
Ex-PRESS青光眼引流器%原发性开角型青光眼%小梁切除术
Ex-PRESS青光眼引流器%原髮性開角型青光眼%小樑切除術
Ex-PRESS청광안인류기%원발성개각형청광안%소량절제술
Ex -PRESS glaucoma filtration device%primary open angle glaucoma%trabeculectomy
目的：观察Ex-PRESS青光眼引流器植入治疗原发性开角型青光眼的临床疗效。<br> 方法：原发性开角型青光眼患者41例54眼分为研究组和对照组。研究组19例25眼，行Ex-PRESS青光眼引流器植入；对照组22例29眼，行小梁切除术。比较两组患者平均手术时间、术后视力、浅前房、眼压、滤过泡及其他并发症的情况。<br> 结果：研究组手术时间34．60±4．43min，术后1d浅前房1眼、前房出血1眼；术后1 wk高眼压2眼；术后3 mo视力下降1眼、功能性滤过泡24眼、眼压11．5±5．8 mmHg。对照组手术时间44．37±3．00min，术后1d浅前房13眼、前房出血渗出12眼；术后1 wk高眼压8眼；术后3 mo视力下降6眼、功能性滤过泡25眼、眼压13．6±6．7 mmHg。研究组术后并发症较少，眼压控制更低，术后视力影响、功能性滤过泡与对照组相当。<br> 结论：Ex-PRESS青光眼引流器植入治疗原发性开角型青光眼手术时间缩短，术后浅前房、前房出血渗出并发症少，安全性高，疗效好。
目的：觀察Ex-PRESS青光眼引流器植入治療原髮性開角型青光眼的臨床療效。<br> 方法：原髮性開角型青光眼患者41例54眼分為研究組和對照組。研究組19例25眼，行Ex-PRESS青光眼引流器植入；對照組22例29眼，行小樑切除術。比較兩組患者平均手術時間、術後視力、淺前房、眼壓、濾過泡及其他併髮癥的情況。<br> 結果：研究組手術時間34．60±4．43min，術後1d淺前房1眼、前房齣血1眼；術後1 wk高眼壓2眼；術後3 mo視力下降1眼、功能性濾過泡24眼、眼壓11．5±5．8 mmHg。對照組手術時間44．37±3．00min，術後1d淺前房13眼、前房齣血滲齣12眼；術後1 wk高眼壓8眼；術後3 mo視力下降6眼、功能性濾過泡25眼、眼壓13．6±6．7 mmHg。研究組術後併髮癥較少，眼壓控製更低，術後視力影響、功能性濾過泡與對照組相噹。<br> 結論：Ex-PRESS青光眼引流器植入治療原髮性開角型青光眼手術時間縮短，術後淺前房、前房齣血滲齣併髮癥少，安全性高，療效好。
목적：관찰Ex-PRESS청광안인류기식입치료원발성개각형청광안적림상료효。<br> 방법：원발성개각형청광안환자41례54안분위연구조화대조조。연구조19례25안，행Ex-PRESS청광안인류기식입；대조조22례29안，행소량절제술。비교량조환자평균수술시간、술후시력、천전방、안압、려과포급기타병발증적정황。<br> 결과：연구조수술시간34．60±4．43min，술후1d천전방1안、전방출혈1안；술후1 wk고안압2안；술후3 mo시력하강1안、공능성려과포24안、안압11．5±5．8 mmHg。대조조수술시간44．37±3．00min，술후1d천전방13안、전방출혈삼출12안；술후1 wk고안압8안；술후3 mo시력하강6안、공능성려과포25안、안압13．6±6．7 mmHg。연구조술후병발증교소，안압공제경저，술후시력영향、공능성려과포여대조조상당。<br> 결론：Ex-PRESS청광안인류기식입치료원발성개각형청광안수술시간축단，술후천전방、전방출혈삼출병발증소，안전성고，료효호。
AIM: To observe the effect of Ex-PRESS glaucoma filtration device in primary open angle glaucoma. <br> METHODS: Totally 41 patients ( 54 eyes ) with primary open angle glaucoma were divided into two groups. Nineteen patients ( 25 eyes ) in study group who underwent Ex -PRESS glaucoma filtration device implantation.Twenty-two cases ( 29 eyes ) in control group who underwent trabeculectomy.Two groups were compared with the average operation time, post -operative visual acuity, anterior chamber, intraocular pressure, filtering bleb and other complications. <br> RESULTS: In study group operation time was (34.60 ± 4.43)min, 1d postoperative shallow anterior chamber in 1 eye and hyphema in 1 eye, 1wk postoperative high intraocular pressure in 2 eyes, 3mo postoperative decreased vision in 1 eye, functional filtering blebs in 24 eyes, intraocular pressure was (11.5 ±5.8) mmHg.The control group operation time was (44.37 ±3.00) min, 1d postoperative shallow anterior chamber in 13 eyes, anterior chamber bleeding or exudation in 12 eyes, 1wk postoperative high intraocular pressure in 8 eyes, 3mo postoperative decreased vision in 6 eyes, functional filtering blebs in 25 eyes, intraocular pressure was (13.6± 6.7) mmHg.The study group can shorten the operation time and reduce early postoperative shallow anterior chamber, lower intraocular pressure and incidence of anterior chamber exudation and bleeding. The study group can control postoperative IOP to a lower degree. Comparing with the traditional operation, the study group had equivalent effect in postoperative visual effects and functional filtering bleb. <br> CONCLUSION: Ex-PRESS glaucoma filtration device implantation in primary open angle glaucoma can shorten operation time, reduce the postoperative complications, and has the characteristics of high safety and good efficacy.
