Ahmed青光眼引流阀植入术后并发症的原因及处理

Cause of complications and control measures of Ahmed valve implantation for refractory glaucoma

[目的]探讨Ahmed青光眼引流阀植入术后并发症的常见原因及处理方法。[方法]对于2005年5月-2007年1月在大连医科大学附属第二医院行Ahmed青光眼引流阀植入术治疗难治性青光眼的24例（24眼）术后并发症常见的原因及处理方法进行回顾性研究。[结果]术后随访1周-12个月,术后早期的主要并发症为前房出血2眼（8.3%）、前房形成迟缓8眼（33.3%）、引流管堵塞3眼（12.5%）等。术后晚期并发症为引流盘包裹继发高眼压5眼（20.8%）。[结论]Ahmed青光眼引流阀植入术后并发症复杂多发,但经过及时妥善的处理仍可达到理想的疗效。

[ Objective ] To investigate the cause of the complications and control measures of Ahmed valve implantation for refractory glaucoma. [ Methods ] In the period from May 2005 to January 2007, retrospective study of postoperative application was based on 24 cases （24 eyes） which underwent Ahmed valve implantation for refractory glaucoma. [ Results] Fol- low- up was 1 week to 12 months. Main early complications after the operation were shallow anterior chamber 2 eyes （8.3%） ,anterior chamber hemorrhage 8 eyes （33.3%） , obstruction of the drainage entrance 3 eyes （ 12.5% ） ; Main far complications after the operation were fibrosis around Ahmed valve and persistent high intraocular pressure 5 eyes （20.8%）. [ Conclusion ] Despite complications are complex and happened frequently, we can also believe that refractory glaucoma Ahmed valve implantation is a satisfactory and safe procedure underwent timely and appropriate control measures.