Ahmed引流阀植入治疗难治性青光眼的临床研究  

Ahmed valve implantation for refractory glaucoma

作　　者：李鸿[1] 李平华[1] 

机构地区：[1]重庆医科大学附属第一医院眼科,重庆400016

出　　处：《重庆医科大学学报》2014年第8期1106-1109,共4页Journal of Chongqing Medical University

基　　金：国家临床重点专科建设项目经费资助项目

摘　　要：目的:探讨Ahmed引流阀植入治疗难治性青光眼的临床效果。方法:对61例(63眼)难治性青光眼的病人施行Ahmed青光眼引流阀植入手术,随访24月观察术后的眼压变化及并发症的发生情况。结果:术后1月,63眼的眼压变化从术前眼压(43.53±6.42)mmHg降到(16.29±4.02)mmHg,成功率达到88.9%;而随访达12月的有44例,这部分病人术后眼压平均为(17.16±5.05)mmHg,成功率达84.1%。术后并发症包括浅前房、前房出血、脉络膜脱离、引流管内口堵塞、引流管与角膜接触等等。结论:Ahmed青光眼引流阀植入手术是难治性青光眼一种有效的治疗方法,值得在临床上广泛推广。Objective:To explore the clinical efficacy of Ahmed valve implantation in the treatment of refractory glaucoma. Methods:Totally 61 patients(63 eyes)with refractory glaucoma underwent surgery using Ahmed glaucoma valve. Changes of intraocular pressure and postoperative complications were observed. Follow-up was lasted for 24 months. Results:At one month postoperatively,intraocular pressure(n=63)was changed from(43.53±6.42)mmHg to(16.29±4.02)mmHg and the success rate was 88.9%. For those eyes with the follow-up≥12 months(n=44),intraocular pressure was(17.16±5.05)mmHg and the success rate was 84.1%.Common postoperative complications included:shallow anterior chamber,hyphema,choroidal detachment,tube blockage,tube-endothelial touch,etc. Conclusion:Ahmed valve implantation is one of the effective methods for refractory glaucoma and this method can be widely used in clinics.

关 键 词：Ahmed青光眼引流阀 难治性青光眼 眼内压 

分 类 号：R775[医药卫生—眼科]