CAJ | 학술논문

目的：探讨不同类型的青光眼采用Ahmed青光眼阀植入术后出现并发症的处理。方法分析23例（26只眼）Ahmed青光眼阀植入术失败的原因，并对其处理措施及疗效进行回顾性分析，术后随访36个月。结果23例（26只眼）Ahmed青光眼阀植入眼压由术前平均（31．84±7．10） mmHg（8．01～47．03 mmHg）。术后降至（19．86±7．10）mmHg（8．01～31．03 mmHg）。其早期并发症有浅前房、低眼压的9只眼，占34．62％；早期高眼压的7只眼，占26．92％；迟发性脉络膜上腔出血3只眼，占11．54％；因引流盘纤维包裹引起术后中远期高眼压19只眼，占73．08％；引流物蚀出或引流管暴露的4只眼，占15．38％；眶上神经痛1只眼，占3．85％；排异反应1只眼，占3．85％。结论青光眼房水引流管植入术后并发症是不容忽视的，应据情况及时处理。
목적：탐토불동류형적청광안채용Ahmed청광안벌식입술후출현병발증적처리。방법분석23례（26지안）Ahmed청광안벌식입술실패적원인，병대기처리조시급료효진행회고성분석，술후수방36개월。결과23례（26지안）Ahmed청광안벌식입안압유술전평균（31．84±7．10） mmHg（8．01～47．03 mmHg）。술후강지（19．86±7．10）mmHg（8．01～31．03 mmHg）。기조기병발증유천전방、저안압적9지안，점34．62％；조기고안압적7지안，점26．92％；지발성맥락막상강출혈3지안，점11．54％；인인류반섬유포과인기술후중원기고안압19지안，점73．08％；인류물식출혹인류관폭로적4지안，점15．38％；광상신경통1지안，점3．85％；배이반응1지안，점3．85％。결론청광안방수인류관식입술후병발증시불용홀시적，응거정황급시처리。
Objective To review the surgical complications after Ahmed glaucoma valve implantation in patients with different types of glaucoma.Methods There were totally 85 cases (94 eyes) received Ahmed valve implantation.A-mong them, postoperative complications were reported in 23 cases (26 eyes).The treatments and outcomes during 36 months follow-up were reviewed.Results Intraocular pressure decreased from 31.84 ±7.10 mmHg (range 8.01~47.03 mm g) to 19.86 ±7.10 mm Hg ( range 8.01~31.03 mmHg) in these 23 patients.Complications included shallow anterior chamber and hypotony ( n =9, 24.62%) , delayed choroidal hemorrhage ( n =3, 11.54%) , long-term ocular hyperten-sion due to drainage tray fiber wrapped ( n =19, 73.08%), drainage tube erosion ( n =4, 15.38%), supraorbital neu-ralgia ( n =1, 3.85%), implantation rejection ( n =1, 3.85%).Conclusion The complications after the Ahmed glaucoma valve cannot be ignored and should be handled promptly.