文档介绍：Ahmed青光眼阀治疗新生血管性青光眼术后浅前房的预防
(作者:___________单位: ___________邮编: ___________)
作者:方爱武瞿佳孙传宾侯立杰
【摘要】目的探讨Ahmed青光眼阀(AGV)置入术治疗新生血管性青光眼(NVG)术后浅前房的预防方法。方法对观察组31例(31眼)NVG行AGV前房置入术,术中预制旁刺口、前房注射粘弹剂及可吸收缝线结扎引流管,观察术后浅前房等并发症的发生率及手术效果,并与12例(12眼)按常规方法行AGV前房置入术者(对照组)进行比较。结果术后Ⅱ级以上浅前房的发生率:观察组为4/31,对照组为6/12,两组差异有统计学意义(P<);观察组平均随访时间(±)个月,最后随访眼压平均为(±)mmHg,不用降眼压药,6mmHg≤最后随访眼压≤21mmHg 17例,%,予局部应用降眼压药,眼压≤21mmHg 6例,%,%;对照组:平均随访时间(±)个月,最后随访眼压平均为(±)mmHg,不用降眼压药,最后随访眼压≤21mmHg 6例,%,予局部应用降眼压药,眼压≤21mmHg 2例,%,%。结论 Ahmed青光眼阀前房置入术术中预制旁刺口、应用透明质酸钠及可吸收缝线结扎引流管等综合措施可预防NVG术后浅前房的发生及由浅前房引起的一系列并发症。
【关键词】青光眼 Ahmed青光眼阀
【Abstract】 Objective To investigate effective ways for precaution of shallow of anterior chamber after implantation of ahmed a valve(AGV) to treat neovascular a . Methods In treating group ,31 eyes of 31 patients with NVG were treated with AGV implant placement in anterior chamber with intraoperative paracentesis, partial ligation of a silicone tube of AGV and injection visco-elastic material were performed on 31 eyes of 31 patients. And a conventional AGV implant placement were performed in 12 eyes of 12 patients as control group . The main e measure was the rate of early postoperative shallow anterior chamber and the postoperative intraocular pressure (IOP). And the e pared between the two groups. ess was