Ahmed青光眼引流阀植入治疗先天性青光眼术后眼压失控疗效分析  

Clinical evaluation of Ahmed glaucoma valve implantation for uncontrolled primary congenital glaucoma

作　　者：卢文胜 王晓冰 韩冬 郝翠霞 高宁洲 杨绍辉 吕建华 

机构地区：[1]河北省眼科医院青光眼科,中国河北省邢台市054001 [2]中国河北省沙河市人民医院,054100 [3]中国河北省宁晋县人民医院,055550

出　　处：《国际眼科杂志》2015年第5期890-891,共2页International Eye Science

基　　金：河北省科技计划项目(No.12276104D-30)~~

摘　　要：目的：探讨Ahmed青光眼引流阀植入治疗先天性青光眼术后眼压失控的疗效与安全性。 方法：回顾分析了2011-01/2014-12因先天性青光眼术后眼压失控患者22例22眼,行青光眼引流阀植入术。主要检查指标包括手术前后眼压、角膜直径以及并发症。 结果：术前平均年龄3.74±2.24岁,距上次手术平均2.59±1.78a,术前平均眼压35.22±6.36mmHg,平均水平角膜直径12.79±0.75mm。所有眼术中使用丝裂霉素C 0.3-0.5mg/mL 3-5min,青光眼引流阀植入颞上或鼻上方巩膜赤道部。术后1wk 眼压11.4±4.45mmHg,术后12mo随访眼压16.73±7.23mmHg。以眼压〈21mmHg为成功标准,术后12 mo 16眼（73%）眼压控制。术后6例发生浅前房,均自行恢复。所有患者未发生引流阀排斥及眼内炎、角膜失代偿等严重并发症。 结论：Ahmed青光眼引流阀植入治疗先天性青光眼术后眼压失控,是一种安全、有效的方法。AIM： To investigate the outcome and safety of Ahmed glaucoma valve implantation treatment in uncontrolled primary congenital glaucoma （ PCG） . METHODS： Twenty - two eyes in 22 children with uncontrolled PCG were reviewed retrospectively and underwent Ahmed glaucoma valve implantation treatment from January 2011 to December 2014. Main checking index included intraocular pressure （ lOP ） before and after operation, corneal diameter and complications. RESULTS： Preoperative mean age was 3. 74±2. 24y, and 2. 59 ± 1. 78y apart from the last operation. Postoperative average lOP was 35. 22 ± 6. 36mmHg. Average corneal diameter was 12. 79 ± 0. 75mm. Mitomycin C （ 0. 3 - 0. 5mg/mL ） was used in all operations for 3-5min. Glaucoma valves were implantedin the temporal or nose above the equator sclera. Postoperative IOP was 11. 4±4. 45mmHg at 1wk, and 16. 73± 7. 23mmHg after 12mo. As IOP〈 21mmHg for success criteria, lOP of 16 eyes （ 73%） were controlled after 12mo. Preoperative 6 cases had shallow anterior chamber, recovered spontaneously. No serious complication was recorded, such as rejection of glaucoma valve, endoophthAIMitis and corneal decompensation. CONCLUSION：Ahmed glaucoma valve implantation in uncontrolled PCG is a safe and viable treatment.

关 键 词：青光眼引流阀 先天性青光眼 眼压失控 

分 类 号：R779.6[医药卫生—眼科]