国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
6期
1148-1150
,共3页
黄志坚%张文强%周和政%曾波
黃誌堅%張文彊%週和政%曾波
황지견%장문강%주화정%증파
EX-PRESS青光眼引流器%手术%开角型青光眼%眼压
EX-PRESS青光眼引流器%手術%開角型青光眼%眼壓
EX-PRESS청광안인류기%수술%개각형청광안%안압
EX - PRESS glaucoma frainage device%surgery%open angle glaucoma%intraocular pressure
目的：EX-PRESS青光眼引流器植入术治疗开角型青光眼的临床疗效和安全性。<br> 方法：回顾经视力、眼压、房角镜、眼底、视野等检查确诊为开角型青光眼患者40例47眼。患者年龄6~73(平均39.9±16.5)岁,最佳矫正视力0.01~0.60,眼压18~65 mmHg。给予3种以上降眼压药物控制不理想,行EX-PRESS青光眼引流器植入术。术后1,3 d；1 wk进行眼压、裂隙灯检查。比较治疗前后最佳矫正视力、眼压的临床资料,观察其疗效及安全性。<br> 结果：术前平均视力0.26±0.29,术后1wk平均视力0.24±0.22,平均视力稍有下降,但无统计学意义( t=1.56,P=0.13)。术前平均眼压36.62±14.01mmHg,术后1,3d；1wk平均眼压分别为10.04±5.77,9.59±4.93,9.47±3-06 mmHg。 EX-PRESS 青光眼引流器植入术后1,3 d；1wk的眼压均较治疗前明显降低(F=157.20,P<0.05)。除5眼术后1d眼压<5mmHg,所有患者在治疗过程中及术后1 wk均未见明显眼部或全身不良反应。<br> 结论：EX-PRESS青光眼引流器植入术治疗开角型青光眼是安全有效的,术中及术后风险低、并发症少。
目的：EX-PRESS青光眼引流器植入術治療開角型青光眼的臨床療效和安全性。<br> 方法：迴顧經視力、眼壓、房角鏡、眼底、視野等檢查確診為開角型青光眼患者40例47眼。患者年齡6~73(平均39.9±16.5)歲,最佳矯正視力0.01~0.60,眼壓18~65 mmHg。給予3種以上降眼壓藥物控製不理想,行EX-PRESS青光眼引流器植入術。術後1,3 d；1 wk進行眼壓、裂隙燈檢查。比較治療前後最佳矯正視力、眼壓的臨床資料,觀察其療效及安全性。<br> 結果：術前平均視力0.26±0.29,術後1wk平均視力0.24±0.22,平均視力稍有下降,但無統計學意義( t=1.56,P=0.13)。術前平均眼壓36.62±14.01mmHg,術後1,3d；1wk平均眼壓分彆為10.04±5.77,9.59±4.93,9.47±3-06 mmHg。 EX-PRESS 青光眼引流器植入術後1,3 d；1wk的眼壓均較治療前明顯降低(F=157.20,P<0.05)。除5眼術後1d眼壓<5mmHg,所有患者在治療過程中及術後1 wk均未見明顯眼部或全身不良反應。<br> 結論：EX-PRESS青光眼引流器植入術治療開角型青光眼是安全有效的,術中及術後風險低、併髮癥少。
목적：EX-PRESS청광안인류기식입술치료개각형청광안적림상료효화안전성。<br> 방법：회고경시력、안압、방각경、안저、시야등검사학진위개각형청광안환자40례47안。환자년령6~73(평균39.9±16.5)세,최가교정시력0.01~0.60,안압18~65 mmHg。급여3충이상강안압약물공제불이상,행EX-PRESS청광안인류기식입술。술후1,3 d；1 wk진행안압、렬극등검사。비교치료전후최가교정시력、안압적림상자료,관찰기료효급안전성。<br> 결과：술전평균시력0.26±0.29,술후1wk평균시력0.24±0.22,평균시력초유하강,단무통계학의의( t=1.56,P=0.13)。술전평균안압36.62±14.01mmHg,술후1,3d；1wk평균안압분별위10.04±5.77,9.59±4.93,9.47±3-06 mmHg。 EX-PRESS 청광안인류기식입술후1,3 d；1wk적안압균교치료전명현강저(F=157.20,P<0.05)。제5안술후1d안압<5mmHg,소유환자재치료과정중급술후1 wk균미견명현안부혹전신불량반응。<br> 결론：EX-PRESS청광안인류기식입술치료개각형청광안시안전유효적,술중급술후풍험저、병발증소。
AIM: To investigate the safety and effect of EX-PRESS glaucoma drainage device on open-angle glaucoma. <br> METHODS: A retrospective review of 40 patients ( 47 eyes ) whose eyes were diagnosed as open angle glaucoma through the best - corrected visual acuity ( BCVA ) , intraocular pressure ( IOP ) , gonioscope, examination of the ocular fundus, and visual fields et al. Fourty patients 6-73y old ( mean 39. 90±16. 50y old) with the BCVA from 0. 01 to 0. 6 and the IOP from 18mmHg to 65mmHg were treated with EX-PRESS glaucoma drainage device after achieving not well IOP over three drugs. Follow - up of these patients 1d, 3d and 1wk after treatment, IOP, slit lamp examination were retrospectively observed. The changes of the BCVA, IOP were used to evaluate the safety and effect before and after treatmeat. <br> RESULTS: The mean BCVA was 0. 26 ± 0. 29 pre -operatively, while it was 0. 24±0. 22 after treatment one week. The mean BCVA decreased slightly, but there was no statistic difference between pre-treatment and post-treatment (t=1. 56,P=0. 13). The mean IOP was (36. 62 ±14.01)mmHg pre-operatively, (10.04±5.77)mmHg after treatment one day , ( 9. 59±4. 93 ) mmHg after treatment three days, (9. 47±3. 06)mmHg after treatment one week. The IOP was decreased significantly in post-treatment after one day, three days, one week compared with pre-treatment (F=157. 20, P<0. 05). Except for 5 eyes of the IOP below 5mmHg, there was no ocular or systemic adverse events observed in all patients. <br> CONCLUSION:EX-PRESS glaucoma drainage device is an effective and safe treatment for the patients with open-angle glaucoma. The risk and complication are low intraoperatively and postoperatively.
