改良巩膜隧道术预防难治性青光眼患者的引流管暴露
Modified Scleral Tunnel to Prevent Tube Exposure in Patients With Refractory Glaucoma.
作者信息
Ma Xiao-Hua, Du Xiu-Juan, Liu Bing, Bi Hong-Sheng
机构信息
*Department of Ophthalmology, Shandong Provincial Hospital affiliated to Shandong University †Affiliated Eye Hospital of Shandong University of TCM, Jinan ‡Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
出版信息
J Glaucoma. 2016 Nov;25(11):883-885. doi: 10.1097/IJG.0000000000000463.
PURPOSE
To present and evaluate modified scleral tunnel in prevention of tube exposure following Ahmed valve implantation in refractory glaucoma.
METHODS
In the Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine, a retrospective study was conducted in 36 eyes of 34 patients who were diagnosed with refractory glaucoma and underwent Ahmed glaucoma valve implantation. In the surgery, the modified scleral tunnel was done to prevent tube exposure.
RESULTS
At the end of follow-up (mean 21.68±9.25 mo), there was no conjunctival tube exposure in all 36 eyes. The mean intraocular pressure was 18.3±6.79 mmHg, and 8 eyes needed 1 to 3 types of drugs to decrease intraocular pressure.
CONCLUSIONS
The modified scleral tunnel technique in Ahmed glaucoma valve implantation is able to prevent conjunctival tube exposure in the patients with refractory glaucoma.
目的
介绍并评估改良巩膜隧道术在难治性青光眼患者植入艾哈迈德人工房水引流阀后预防引流管暴露的效果。
方法
在山东中医药大学附属眼科医院，对34例难治性青光眼患者的36只眼进行回顾性研究，这些患者均接受了艾哈迈德青光眼阀植入术。术中采用改良巩膜隧道术预防引流管暴露。
结果
随访结束时（平均21.68±9.25个月），36只眼中均未出现结膜下引流管暴露。平均眼压为18.3±6.79 mmHg，8只眼需要使用1至3种降眼压药物。
结论
艾哈迈德青光眼阀植入术中采用改良巩膜隧道技术可预防难治性青光眼患者的结膜下引流管暴露。
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