摘要
目的:探讨Ex-press青光眼引流钉植入术治疗难治性青光眼的临床疗效与安全性。方法:回顾性分析行Ex-press青光眼引流钉植入术治疗的难治性青光眼患者22例23眼。观察术前及术后1wk,1、2、3、6mo,1a的视力、眼压及并发症发生情况。结果:所有患者均随访至1a。完全成功率为52%(12眼),部分成功率22%(5眼),总成功率74%。术前平均眼压为40.59±11.11mmH g(1mmH g=0.133k Pa),术后1wk,1、2、3、6mo,1a的平均眼压分别为10.30±5.07、12.23±4.03、13.87±4.62、16.52±6.09、18.35±7.06、19.65±8.26mmH g。术后各时间点眼压与术前眼压相比均有统计学意义(P〈0.01)。术后患者视力较术前提高,差异有统计学意义(P〈0.01)。23眼中3眼出现少量前房出血,分别于术后4~7d自行吸收;2眼出现一过性低眼压,密切观察8~10d后眼压〉6mmH g;1眼术后1mo出现渗出性脉络膜脱离,给予局部使用激素后于术后37d复位。所有患者均未出现其他并发症。结论:Ex-press青光眼引流钉植入术治疗难治性青光眼安全有效。
AIM:To explore the safety and efficacy of Ex-press glaucoma value implantation for the treatment of refractory glaucoma.METHODS:The data of 22 patients(23 eyes) with refractory glaucoma received implantation of Ex- press glaucoma value were retrospectively analyzed.The visual acuity,intraocular pressure(IOP) and complications in all patients were observed before and after operation in 1wk,2mo,3mo,6mo and 12 mo.RESULTS:All patients were followed up for 1y.The complete success rate was 52%(12 eyes),the partial success rate was 22%(5 eyes) and the total success rate was 74%.The IOP of preoperative and postoperative 1wk,1mo,2mo,3mo,6mo,and 12 mo was 40.59±11.11,10.30±5.07,12.23±4.03,13.87±4.62,16.52±6.09,18.35±7.06 and 19.65 ± 8.26 mmHg,(1mmHg =0.133 KPa)respectively.Postoperative IOP at every time point was significantly decreased compare to preoperation(P〈0.01).The visual acuity was significantly improved postoperatively(P〈0.01).Postoperative hyphema were found in 3 eyes,transient low IOP in 2 eyes,and choroids detachment in 1 eye.All of these complications appeared at the early postoperative stage and healed within 4-14 d.No other complications were observed.CONCLUSION:Ex-press glaucoma value implantation seemed to be one of the most safe and effective way in treatment of refractory glaucoma.
出处
《国际眼科杂志》
CAS
2016年第9期1735-1737,共3页
International Eye Science
关键词
引流钉
难治性青光眼
眼压
疗效
Ex-press glaucoma value
refractory glaucoma
intraocular pressure
efficacy