国际眼科杂志Issue(5)：890-891,2.DOI:10.3980/j.issn.1672-5123.2015.5.40
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
摘要
Abstract
•AlM: To investigate the outcome and safety of Ahmed glaucoma valve implantation treatment in uncontrolled primary congenital glaucoma ( PCG) . <br> • 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. <br> •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 implanted in the temporal or nose above the equator sclera. Postoperative lOP was 11. 4±4. 45mmHg at 1wk, and 16. 73± 7. 23mmHg after 12mo. As lOP< 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, endoophthalmitis and corneal decompensation. <br> •CONCLUSlON: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Key words
Ahmed glaucoma valve implantation/primary congenital glaucoma/uncontrolled intraocular pressure引用本文复制引用
卢文胜,王晓冰,韩冬,郝翠霞,高宁洲,杨绍辉,吕建华..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[J].国际眼科杂志,2015,(5):890-891,2.基金项目
河北省科技计划项目(No.12276104D-30)@@@@Science and Technology Research and Development Program Foundation of Hebei Province ( No.12276104D-30) （No.12276104D-30）
