Chaudhry M, Grover S, Baisakhiya S, Bajaj A, Bhatia M S
BPS Government Medical College for Women, Khanpur Kalan.
Nepal J Ophthalmol. 2012 Jul-Dec;4(2):295-302. doi: 10.3126/nepjoph.v4i2.6547.
Artificial drainage devices (ADD) create an alternative pathway for aqueous drainage from the anterior chamber of an eye through a tube to the subconjunctival bleb connected to an equatorial plate under the conjunctiva. The ADDs, both valved and non-valved, are available for end stage or refractory glaucoma. Currently, some of these devices, particularly the Express shunt, are recommended for the primary treatment of glaucoma. In this article, we highlight various ADDs, their indications and contraindications, surgical techniques and associated complications.
人工引流装置（ADD）为眼内房水从前房通过一根管子引流至与结膜下赤道板相连的结膜下滤泡创造了一条替代途径。带瓣膜和不带瓣膜的ADD均适用于晚期或难治性青光眼。目前，其中一些装置，特别是Express分流器，被推荐用于青光眼的初始治疗。在本文中，我们重点介绍了各种ADD、它们的适应证和禁忌证、手术技术及相关并发症。
