Intraluminal stenting versus external ligation of Ahmed glaucoma valve in prevention of postoperative hypotony  被引量:1

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作  者:Dina Abd Elfattah Faried Wagdy Tharwat Mokbel Hisham Elsorogy Abd-Elmonem A.Elhesy 

机构地区:[1]Mansoura Ophthalmic Center,Faculty of Medicine,Mansoura University,Mansoura 35516,Egypt [2]Menofia University Hospital,Menofia University,Menofia 32511,Egypt

出  处:《International Journal of Ophthalmology(English edition)》2021年第10期1560-1564,共5页国际眼科杂志(英文版)

摘  要:AIM:To compare intraluminal stenting and external ligation of Ahmed glaucoma valves(AGV)for refractory glaucoma management and postoperative hypotony prevention.METHODS:This randomized prospective blind study included 30 eyes of 25 patients(age range:44-56y)with refractory glaucoma.This study was conducted from September 2018 to January 2020.The study included two groups,AGV with intraluminal stenting group(n=15 eyes)and AGV with external ligation group(n=15 eyes).Follow-up period was one year postoperatively.The primary outcome was intraocular pressure(IOP)and its association with the number of postoperative glaucoma medications.IOP≤21 mm Hg without medications indicated complete success while IOP≤21 mm Hg with medications indicated qualified success;and IOP<6 mm Hg was defined as hypotony.RESULTS:After a year of follow-up,IOP was significantly reduced in the intraluminal stenting group than in the external ligation group(11.67±0.89 vs 14.2±4.0 mm Hg,respectively,P=0.024).Postoperative hypotony was more common in the external ligation group(2 cases,13.33%)than in the intraluminal stenting group(1 case,6.67%).CONCLUSION:Application of intraluminal stenting or external ligation during AGV surgery usually prevents postoperative hypotony(transient and persistent)that occurs in conventional AGV surgery.

关 键 词:STENTING LIGATION Ahmed valve HYPOTONY GLAUCOMA 

分 类 号:R779.6[医药卫生—眼科]

 

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