在伴有人工晶状体眼和无晶状体眼的青光眼患者中，行玻璃体切除术时植入Baerveldt巩膜平坦部引流管
Pars plana Baerveldt tube insertion with vitrectomy in glaucomas associated with pseudophakia and aphakia.
作者信息
Varma R, Heuer D K, Lundy D C, Baerveldt G, Lee P P, Minckler D S
机构信息
Doheny Eye Institute, Los Angeles, CA 90033, USA.
出版信息
Am J Ophthalmol. 1995 Apr;119(4):401-7. doi: 10.1016/s0002-9394(14)71224-3.
PURPOSE
We reviewed the course of intraocular pressure, visual acuity, and complications in patients with shallow anterior chambers or vitreous prolapse who underwent insertion of glaucoma drainage tubes through the pars plana (after a complete posterior vitrectomy).
METHODS
Thirteen patients (13 eyes) with uncontrolled glaucoma associated with shallow anterior chamber or vitreous prolapse and aphakia or pseudophakia underwent pars plana Baerveldt tube insertion after vitrectomy.
RESULTS
In 11 eyes the intraocular pressure was less than or equal to 15 mm Hg at a minimum follow-up of one year; the other two eyes underwent additional glaucoma surgery. Two of the 11 eyes with controlled intraocular pressure had limitation of ocular motility postoperatively. No retinal complications had occurred in any of the 13 eyes.
CONCLUSION
This technique of combined pars plana vitrectomy and pars plana insertion of a Baerveldt tube provides intraocular pressure control in eyes with shallow anterior chamber or vitreous prolapse and glaucoma associated with pseudophakia or aphakia.
目的
我们回顾了通过平坦部（在完全玻璃体切除术后）植入青光眼引流管的浅前房或玻璃体脱垂患者的眼压、视力及并发症情况。
方法
13例（13眼）伴有浅前房或玻璃体脱垂、无晶状体或人工晶状体的青光眼控制不佳患者在玻璃体切除术后行平坦部Baerveldt管植入术。
结果
至少随访一年时，11眼中眼压小于或等于15mmHg；另外2眼接受了额外的青光眼手术。11眼压控制良好的眼中有2眼术后存在眼球运动受限。13眼中无一发生视网膜并发症。
结论
这种平坦部玻璃体切除术联合平坦部Baerveldt管植入术的技术可控制伴有浅前房或玻璃体脱垂以及与无晶状体或人工晶状体相关的青光眼患者的眼压。
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