Ex-PRESS引流钉植入治疗原发性开角型青光眼的临床观察

发布时间：2017-12-26 20:09

本文关键词：Ex-PRESS引流钉植入治疗原发性开角型青光眼的临床观察　出处：《国际眼科杂志》2016年02期 　论文类型：期刊论文

【摘要】：目的:观察Ex-PRESS引流钉植入联合调整缝线治疗原发性开角型青光眼的临床效果。方法:回顾2013-01/2015-05在我院就诊的确诊为原发性开角型青光眼患者23例29眼。患者年龄23~42岁,术前最佳矫正视力:指数/50cm~0.5,眼压16~52mmH g。给予降眼压药物效果不理想,行Ex-PRESS引流钉植入联合调整缝线手术。术后进行眼压、滤过泡形成观察及超声生物显微镜(ultrasound biomicroscope,UBM)观察引流钉开口是否通畅。结果:术后视力0.06~0.5;术后1wk平均眼压为10±3mmH g,与术前比较明显降低(P0.05);手术后有1眼出现术后浅前房,1眼术后第2d出现前房积血;所有患者(29眼)在术后至术后1wk拆除调整缝线期间滤过泡形成好,有1眼术后3mo复查滤过泡包裹,UBM检查巩膜内口有高密度强回声阻塞物,而无巩膜瓣下通道,其他患者(28眼)术后3mo UBM观察滤过通道通畅。结论:Ex-PRESS青光眼引流钉植入术联合调整缝线治疗开角型青光眼是安全有效的,术中及术后风险低、并发症少。
[Abstract]:Objective: To observe the clinical effect of Ex-PRESS drainage nail implantation combined with adjustable suture in the treatment of primary open angle glaucoma. Methods: 29 eyes of 23 patients with primary open angle glaucoma diagnosed by 2013-01/2015-05 in our hospital were reviewed. The age of the patient was 23~42 years and the best corrected visual acuity before operation: the index of /50cm~0.5, and the intraocular pressure 16~52mmH G. The effect of lowering intraocular pressure is not ideal, and Ex-PRESS drainage nail implantation combined with adjusted suture operation is performed. Intraocular pressure (IOP), filtration bleb formation and ultrasound biomicroscope (UBM) were performed after the operation to observe whether the opening of the drainage nail was unobstructed. Results: the postoperative visual acuity of 0.06~0.5; postoperative 1wk mean IOP was 10 + 3mmH g, compared with the preoperative decreased significantly (P0.05) after surgery; 1 eyes with shallow anterior chamber after surgery, 1 eyes after operation 2D hyphema; all patients (29 eyes) at the postoperative period until 1wk after operation. Removal of sutures bleb formation, 1 eyes of postoperative follow-up 3Mo bleb package, UBM check in sclera with high density and strong echo obstruction, without subscleral channel, other patients (28 eyes) were unobstructed after UBM 3Mo filtering. Conclusion: Ex-PRESS glaucoma drainage nail implantation combined with adjustable suture is a safe and effective treatment for open angle glaucoma. The risk of intraoperative and postoperative complications is low and the complications are less.
【作者单位】：中国湖北省襄阳市中心医院眼科;
【分类号】：R779.6
【正文快照】： 引用:李琴,黄毅,张少维.Ex-PRESS引流钉植入治疗原发性开角型青光眼的临床观察.国际眼科杂志2016;16(2):355-357 0引言24mmH g,术后1wk为10±3mmH g,术后1mo为12±对于原发性开角型青光眼患者来说,常规的降眼压治5mmH g,术后3mo为15±2mmH g,与治疗前相比较,术后眼疗包括药物

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