Ahmed阀门在青光眼手术中的疗效分析

Use of an Ahmed glaucoma valve in treating glaucoma

目的:评价Ahmed青光眼阀门在多种类型青光眼中的治疗效果。方法:对研究期间住院94例102眼青光眼患者予Ahmed青光眼阀门植入术,新生血管性青光眼患者术后1～2wk予全视网膜光凝。术后随访6mo以上,了解各期眼压、视力情况。结果:平均眼压从术前48.52±6.42mmHg降到术后6mo11.20±3.34mmHg。术后各时期平均眼压均低于21mmHg,与术前相比差异有显著性(P<0.01)。102眼手术完全成功者96眼,基本成功者2眼,总有效率为96.1%。术后并发症包括短暂性前房出血、早期低眼压、浅前房等。结论:尽管Ahmed阀门植入存在一些并发症,但是对于青光眼是一种新的有效治疗方法。

AIM：To evaluate the use of an Ahmed glaucoma valve（AGV） in treating glaucoma eyes.METHODS：Totally 94 cases 102 glaucoma eyes underwent Ahmed valve implantation.Neovascular glaucoma eyes were treated with retinal photocoagulation 1-2 weeks after operation.Patients were followed up for over a six-month period.RESULTS：：The mean intraocular pressure（IOP） was lowered from 48.52±6.42mmHg preoperatively to 11.20±3.34mmHg postoperatively.Compared with preoperative IOP,the IOP at each period after surgery was significantly lower（P0.01）.Complete success was achieved in 96 eyes and there was qualified success in 2 eyes.The total success rate was 96.1%.Some of the complications were transient hyphema,early post-operative hypotony,and a transient shallow anterior chamber.CONCLUSION：AGV implantation is a new and effective technique in glaucoma.