同济大学学报(医学版)2018,Vol.39Issue(2):107-111,5.DOI:10.16118/j.1008-0392.2018.02.021
改良型Ahmed减压阀植入术联合白内障超声乳化术治疗难治性青光眼的临床研究
Improved Ahmed glaucoma valve implantation with phacoemulsification in treatment of refractory glaucoma patients
摘要
Abstract
Objective To evaluate the clinical efficacy and safety of improved Ahmed glaucoma valve(AGV)implantation with phacoemulsification in treatment of refractory glaucoma patients. Methods Clinical data of 14 patients(16 eyes)with refractory glaucoma, who underwent improved AGV implantation with(AGV+phaco group, n= 8)or without phacoemulsification (AGV group, n=8)were retrospectively analyzed. Treatment outcomes were followed up at 1, 3, 6 and 12 months after surgery, and compared between two groups. Results The intraocular pressure(IOP)and the incidence of postoperative complications were significantly decreased after operation in both groups. The numbers of anti-glaucoma medication were significantly reduced after operation in both groups, while the number of medication in AGV+phaco group was lower than that in AGV group. Conclusion The improved AGV implantation with phacoemulsification has a stable IOP-lowering effect and fewer complications, and can be considered as the choice for management of refractory glaucoma.关键词
青光眼引流植入物/白内障超声乳化术/难治性青光眼/治疗结果Key words
Ahmed glaucoma valve/phacoemulsification/refractory glaucoma/treatment outcome分类
医药卫生引用本文复制引用
陈杰,吴佳慧,李倩,崔红平..改良型Ahmed减压阀植入术联合白内障超声乳化术治疗难治性青光眼的临床研究[J].同济大学学报(医学版),2018,39(2):107-111,5.基金项目
江西省自然科学基金面上项目(20171BAB205048) (20171BAB205048)