| 董晓飞,刘 伟,刑 悦,高髻云,赵永亮.Ahmed青光眼阀植入术治疗眼外伤继发性青光眼临床疗效[J].,2020,(10):1988-1991 |
| Ahmed青光眼阀植入术治疗眼外伤继发性青光眼临床疗效 |
| Clinical Effect of Ahmed Glaucoma Valve Implantation on the Glaucoma Secondary to Ocular Trauma |
| 投稿时间：2020-01-23 修订日期：2020-02-18 |
| DOI：10.13241/j.cnki.pmb.2020.10.042 |
| 中文关键词: 眼外伤 青光眼 小梁切除术 Ahmed青光眼阀植入术 眼压 |
| 英文关键词: Ocular trauma Glaucoma Trabeculectomy Ahmed glaucoma valve implantation Intraocular pressure |
| 基金项目:秦皇岛市科学技术研究与发展计划项目(201703A138) |
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| 中文摘要: |
| 摘要 目的：探讨Ahmed青光眼阀植入术治疗眼外伤继发性青光眼患者的临床效果。方法：回顾性分析2013年3月至2018年3月我院接诊的103例眼外伤继发性青光眼患者临床资料，根据手术方法不同分为观察组53例和对照组50例。观察组给予Ahmed青光眼阀植入术治疗，对照组给予小梁切除术治疗。比较两组手术疗效、治疗前后眼压、视力的变化、滤过泡、并发症的发生情况。结果：经随访显示，观察组手术完全成功率为52.83%，明显高于对照组(32.00%，P＜0.05)；两组术后眼压较术前均降低，视力均较术前升高，组间、不同时间点比较差异有统计学意义(P＜0.05)；观察组功能性滤过泡率为71.70%，明显高于对照组(50.00%，P＜0.05)；两组术后浅前房、前房出血、虹膜阻塞总发生率分别为7.55%和18.00%，组间差异无统计学意义(P＞0.05)。结论：Ahmed青光眼阀植入术治疗眼外伤继发性青光眼的疗效显著，有助于控制眼压，改善视力。 |
| 英文摘要: |
| ABSTRACT Objective: To study the clinical effect of Ahmed glaucoma valve implantation on the glaucoma secondary to ocular trauma. Methods: The clinical data of 103 patients with glaucoma secondary to ocular trauma in our hospital from March 2013 to March 2018 were retrospectively analyzed, the patients were divided into 53 cases in the observation group and 50 cases in the control group by the different surgical methods. The observation group was treated with Ahmed glaucoma valve implantation, while the control group was treated with trabeculectomy. The operative efficacy, the changes of the intraocular pressure, visual acuity, filtering bleb before and after treatment, and complications were compared between the two groups. Results: The follow-up showed that the complete success rate of operation in the observation group was 52.83%, which was significantly higher than that in the control group(32.00%, P＜0.05); the postoperative intraocular pressure in both groups were lower than those before operation, the visual acuity were higher than those before operation, and there were significant differences at interblock and different time points(P＜0.05); the functional filtering bleb rate in the observation group was 71.70%, which was significantly higher than those in the control group (50.00%, P＜0.05); the total incidence of shallow anterior chamber, anterior chamber hemorrhage and iris obstruction in the two groups were 7.55% and 18.00% respectively, there was no significant difference between groups(P＞0.05). Conclusion: Ahmed glaucoma valve implantation is effective in the treatment of glaucoma secondary to ocular trauma, it's helpful to control intraocular pressure and improve visual acuity, the success rate of operation is high, and it is worth popularizing. |
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