临床眼科杂志2016，Vol.24Issue(3)：229-232,4.DOI:10.3969/j.issn.1006-8422.2016.03.012
EX-PRESS 引流钉植入术治疗开角型青光眼的疗效观察
EX-PRESS glaucoma shunt for the treatment of open-angle glaucom
摘要
Abstract
Objective To evaluate the therapeutic effects of EX-PRESS glaucoma shunt in open-angle glaucoma . Methods A retrospective case analysis.Twenty-two subjects (30 eyes) were enrolled, among which 12 cases (17 eyes) were confirmed to be primary open-angle glaucoma (POAG) and the rest 10 cases (13 eyes) were secondary open-angle glaucoma (SOAG).Follow-up time ranged from 6 to 21 months.Visual acuity, intraocular pressure before admission, at 1 week, 1 month and 3 months after surgery, and at final follow-up were recorded.The amount of pressure-lowering agents used at final follow-up and surgical related complications were also analyzed .Results There was no significant difference in visual acuity among different time-points.IOPs were 38.69 ±12.23 mmHg, 11.03 ±5.46 mmHg, 14.62 ±8.04 mm-Hg, 15.59 ±7.87 mmHg, 18.89 ±9.06 mmHg before admission and at 1 week, 1 month and 3 months after surgery , and at final follow-up respectively.The IOPs after surgery were significantly lower than that prior to admission ( P <0.001). The IOL was ≤21mmHg in 24 eyes (80%) at last follow-up.In these cases, 22 patients were not using any eye drops , and one patient used only one pressure-lowering eye drop and another patient used two eye drops .The IOL were >21 mmHg (20%) in 6 patients.In these cases, 4 patients were not using any drops while two patients were on 2 different drops.The position of EXPRESS was too posterior in 5 cases and touched iris in 3 patients .In 1 patient it located too anteriorly but did not touch the cornea .Seven patients suffered from grade II shallow anterior chamber , but only minimal hyphema was found in 1 patient and it resolved rapidly after treatment .One patient experienced choroid detachment and was cured with steroid administration .Conclusions EX-PRESS is effective to lower IOP in open-angle glaucoma and has little impact on visual acuity.However, it should raise physician’s concern that EX-PRESS could lead to some unique complications .关键词
EX-PRESS引流钉/小梁切除术/开角型青光眼/疗效/并发症Key words
EX-PRESS/Trabeculectomy/Open-angle glaucoma/Effect/Complication引用本文复制引用
李维娜,李学喜,林小兰,赖钟祺..EX-PRESS 引流钉植入术治疗开角型青光眼的疗效观察[J].临床眼科杂志,2016,24(3):229-232,4.基金项目
南京军区医学科技创新课题 （）
