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
2013年
6期
449-451
,共3页
尹娟娟%唐文建%王文战%袁军%杨潇远%陈鹏
尹娟娟%唐文建%王文戰%袁軍%楊瀟遠%陳鵬
윤연연%당문건%왕문전%원군%양소원%진붕
青光眼,新生血管性%光凝,泛视网膜%减压阀,Ahmed
青光眼,新生血管性%光凝,汎視網膜%減壓閥,Ahmed
청광안,신생혈관성%광응,범시망막%감압벌,Ahmed
Glaucoma,neovascular%Photocoagulation,panretinal%Valve,glaucoma,Ahmed
目的 观察泛视网膜光凝联合Ahmed减压阀植入术治疗新生血管性青光眼的临床效果.方法 对28例(30眼)新生血管性青光眼先行泛视网膜光凝,5～7d后行Ahmed减压阀植入术,观察手术前后的最佳矫正视力、眼压、虹膜新生血管消退情况及术后并发症.结果 治疗后最佳矫正视力提高13眼,无变化12眼,下降5眼；治疗前平均眼压(43.2±5.4) mm Hg(1 mm Hg=0.133kPa),术后1周、1个月及3个月平均眼压为(12.9±4.9) mm Hg、(14.8±4.5)mm Hg、(16.3±3.9)mm Hg(t=16.584、t=17.576、t=14.328,P＜0.05),治疗前后对比差异有统计学意义.术后并发症:前房形成迟缓7眼,前房积血4眼,引流管堵塞2眼,脉络膜脱离2眼.30眼虹膜新生血管全部或部分消退,临床症状缓解.结论 采用泛视网膜光凝联合Ahmed减压阀植入术治疗新生血管性青光眼既能降低眼压,又能减少术后并发症及挽救视力,是新生血管性青光眼的一种安全有效的治疗方法.
目的 觀察汎視網膜光凝聯閤Ahmed減壓閥植入術治療新生血管性青光眼的臨床效果.方法 對28例(30眼)新生血管性青光眼先行汎視網膜光凝,5～7d後行Ahmed減壓閥植入術,觀察手術前後的最佳矯正視力、眼壓、虹膜新生血管消退情況及術後併髮癥.結果 治療後最佳矯正視力提高13眼,無變化12眼,下降5眼；治療前平均眼壓(43.2±5.4) mm Hg(1 mm Hg=0.133kPa),術後1週、1箇月及3箇月平均眼壓為(12.9±4.9) mm Hg、(14.8±4.5)mm Hg、(16.3±3.9)mm Hg(t=16.584、t=17.576、t=14.328,P＜0.05),治療前後對比差異有統計學意義.術後併髮癥:前房形成遲緩7眼,前房積血4眼,引流管堵塞2眼,脈絡膜脫離2眼.30眼虹膜新生血管全部或部分消退,臨床癥狀緩解.結論 採用汎視網膜光凝聯閤Ahmed減壓閥植入術治療新生血管性青光眼既能降低眼壓,又能減少術後併髮癥及輓救視力,是新生血管性青光眼的一種安全有效的治療方法.
목적 관찰범시망막광응연합Ahmed감압벌식입술치료신생혈관성청광안적림상효과.방법 대28례(30안)신생혈관성청광안선행범시망막광응,5～7d후행Ahmed감압벌식입술,관찰수술전후적최가교정시력、안압、홍막신생혈관소퇴정황급술후병발증.결과 치료후최가교정시력제고13안,무변화12안,하강5안；치료전평균안압(43.2±5.4) mm Hg(1 mm Hg=0.133kPa),술후1주、1개월급3개월평균안압위(12.9±4.9) mm Hg、(14.8±4.5)mm Hg、(16.3±3.9)mm Hg(t=16.584、t=17.576、t=14.328,P＜0.05),치료전후대비차이유통계학의의.술후병발증:전방형성지완7안,전방적혈4안,인류관도새2안,맥락막탈리2안.30안홍막신생혈관전부혹부분소퇴,림상증상완해.결론 채용범시망막광응연합Ahmed감압벌식입술치료신생혈관성청광안기능강저안압,우능감소술후병발증급만구시력,시신생혈관성청광안적일충안전유효적치료방법.
Objective To evaluate the clinical effect of panretinal photocoagulation combined with Ahmed glaucoma valve implantation for neovascular glaucoma (NVG).Methods This study was based on 30 eyes of 28 patients with NVG who underwent panretinal photocoagulation combined with Ahmed glaucoma valve implantation.The best corrected visual acuity,the new vessels of iris,intraocular pressure (IOP) and complication were observed preoperatively and postoperatively.Results The best corrected visual acuities were improved in 13 eyes,decline in 5 eyes and no change in 12 eyes.The average IOP was (43.2 ±5.4)mm Hg preoperatively,(12.9 ± 4.9) mm Hg at 1 week,(14.8 ± 4.5) mm Hg at 1 month,(16.3 ± 3.9)mm Hg at 3 months postoperatively (t =16.584,t =17.576,t =14.328,P ＜ 0.05).These differences were statistically significant (P ＜ 0.05).The new vessels of iris in 30 eyes had disappeared completely or partly.The predominant complications were hyphema (4 eyes),shallow anterior chamber (7 eyes),drainage tube blocking (2 eyes),choroidal detachment (2 eyes).Conclusion The panretinal photocoagulation combined with Ahmed glaucoma valve implantation is an ideal operation for NVG,because it can lower IOP,decrease complication and preserve visual function.
