科威特难治性青光眼患者接受艾哈迈德青光眼引流阀植入术的治疗结果。
The outcome of the Ahmad Glaucoma Valve implantation for refractory glaucoma in Kuwait.
作者信息
Aljazzaf Adel M, Abdelmoaty Sidky M A, Behbehani Abdelmutalib H, Abdulmuez Ahmad A, Aljazzaf Hadeel A
机构信息
Al-Bahar Eye Center, Ministry of Health, Kuwait.
出版信息
Saudi J Ophthalmol. 2013 Jan;27(1):15-8. doi: 10.1016/j.sjopt.2012.10.001. Epub 2012 Oct 27.
AIM
To assess the outcomes and incidence of postoperative complications of Ahmad Glaucoma Valve implant in eyes with complicated glaucoma performed in Kuwait.
METHOD
This is a retrospective study done at the Al-Bahar Eye Center in Kuwait. Charts of all patients who underwent Ahmad Glaucoma Valve implant at the Al-Bahar Ophthalmic Center in Kuwait between 2006 and 2009 were reviewed. Surgical success was defined as intraocular pressure less than 22 mmHg and greater than 5 mmHg without additional glaucoma surgery and without loss of light perception.
RESULTS
A total of 33 eyes from 30 patients with complicated glaucoma not responsive to conventional medical and non-implant surgical treatment received Ahmad Glaucoma Valve implant. The success rate was 79% (26 cases). 20/26 (77%) cases of them required antiglaucoma medications. The most common complication was encapsulated bleb (27%) and transient postoperative hypotony was found in 19% of the cases.
CONCLUSION
Ahmad Glaucoma Valve implant appears to be effective and relatively safe for complicated glaucoma in Kuwait. The success rate is comparable with those reported in other studies.
目的
评估在科威特进行的艾哈迈德青光眼引流阀植入术治疗复杂性青光眼的术后效果及并发症发生率。
方法
这是一项在科威特巴哈眼科中心开展的回顾性研究。对2006年至2009年间在科威特巴哈眼科中心接受艾哈迈德青光眼引流阀植入术的所有患者的病历进行了回顾。手术成功定义为眼压低于22毫米汞柱且高于5毫米汞柱，无需额外的青光眼手术且无光感丧失。
结果
共有30例复杂性青光眼患者的33只眼睛，在对传统药物和非植入性手术治疗无反应后接受了艾哈迈德青光眼引流阀植入术。成功率为79%（26例）。其中20/26（77%）的病例需要使用抗青光眼药物。最常见的并发症是包裹性房水囊肿（27%），19%的病例出现了术后短暂性低眼压。
结论
在科威特，艾哈迈德青光眼引流阀植入术对于复杂性青光眼似乎有效且相对安全。成功率与其他研究报告的结果相当。
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