Express青光眼微型引流钉治疗开角型青光眼的临床观察

Express mini glaucoma drainage device for the treatment of open angle glaucoma

目的观察Express青光眼微型引流钉治疗开角型青光眼的临床效果。方法回顾2015年1月至2015年10月我院开展Express青光眼微型引流钉治疗开角型青光眼22例(25只眼),随访观察术后1周、1个月、3个月、6个月视力、眼压、并发症、滤过泡形态。结果视力:术后随访半年,患者均无复视现象,视力无明显变化或稍有提高。眼压:术后眼压控制良好,与术前比较明显降低(P<0.05)。并发症:1只眼术后第1天出现浅前房,1只眼1周出现结膜伤口渗漏。滤过泡:1只眼第1个月出现滤过泡瘢痕化,其余患者均获得宽大弥散的功能性滤过泡。结论 Express青光眼微型引流钉治疗开角型青光眼是安全有效的手术方式,术中及术后风险低、并发症少。

Objective To observe the effects of Express mini glaucoma drainage device with adjustable suture on the treatment for open angle glaucoma. Methods Clinical data of 22 patients（ n = 25 eyes,from January 2015 to October2015） who were diagnosed as open angle glaucoma were analyzed retrospectively. After being treated with Express mini glaucoma drainage device and adjustable suture,patients were observed for visual acuity,intraocular pressure,complications and the formation of filtering blebs at 1 week,1 month,3 months,and 6 months. Results Six months after treatment,there was no postoperative diplopia. Visual acuity had no obvious change or increased slightly. Postoperative IOP decreased significantly（ P〈0. 05） and was stable. Shallow anterior chamber was found in 1 eye on postoperative day 1. Another eye was found to have conjunctival wound leakage on 1 week. Bleb scarring occurred in 1 eye on 1 month. Large,dispersing and functional filtering bleb was acquired in all other patients. Conclusions Express mini glaucoma drainage device with adjustable suture for open angle glaucoma is considered safe and effective. Incidence of complication was low.