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[Baerveldt®青光眼植入物用于新生血管性青光眼患者的结果]

[Results of the Baerveldt® Glaucoma Implant for Neovascular Glaucoma Patients].

作者信息

Tojo Naoki, Nakamura Tomoko, Ueda Tomoko Consolvo, Yanagisawa Shuichiro, Hayashi Atsushi

出版信息

Nippon Ganka Gakkai Zasshi. 2017 Feb;121(2):138-45.

Abstract

Purpose: To evaluate the efficacy and safety of the Baerveldt® glaucoma implant (BGI) for eyes with neovascular glaucoma (NVG). Methods: This was a retrospective study. Thirty-five eyes (31 patients) diagnosed with refractory NVG at Toyama University Hospital were enrolled from January 2012 to December 2015. All patients underwent BGI and were followed up for more than 6 months. Results: The mean age of patients was 62.7±13.9 years old. The mean postoperative follow-up periods was 22.0±12.7 months. The mean preoperative IOP was 35.5±9.6 mmHg and the mean postoperative IOP at 6, 12, 24, 36, 48 month were 12.7±5.9, 12.8±3.7, 12.2±3.3, 13.1±3.3, 15.0±1.4 mmHg respectively. Postoperative visual acuity was not significantly improved. Complications were Hoffmann Elbow erosion in 2 patients who needed additional surgery. The success rate at one year was 82.7%. Postoperative intervention was not required. Conclusion: BGI surgery should be considered a useful treatment to lower the IOP for NVG.

摘要

目的

评估Baerveldt®青光眼植入物(BGI)治疗新生血管性青光眼(NVG)患眼的疗效和安全性。方法:这是一项回顾性研究。2012年1月至2015年12月期间,对富山大学医院35例(35只眼)诊断为难治性NVG的患者进行研究。所有患者均接受BGI植入,并随访6个月以上。结果:患者平均年龄为62.7±13.9岁。术后平均随访时间为22.0±12.7个月。术前平均眼压为35.5±9.6 mmHg,术后6、12、24、36、48个月的平均眼压分别为12.7±5.9、12.8±3.7、12.2±3.3、13.1±3.3、15.0±1.4 mmHg。术后视力无明显改善。并发症方面,2例患者出现霍夫曼肘关节侵蚀,需再次手术。一年成功率为82.7%。无需术后干预。结论:BGI手术应被视为降低NVG眼压的有效治疗方法。

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