改良房水引流植入物治疗伴有巩膜前带的复杂性青光眼。
Modified aqueous drainage implants in the treatment of complicated glaucomas in eyes with pre-existing episcleral bands.
作者信息
Smith M F, Doyle J W, Fanous M M
机构信息
University of Florida School of Medicine, Department of Ophthalmology, Gainesville 32610, USA.
出版信息
Ophthalmology. 1998 Dec;105(12):2237-42. doi: 10.1016/S0161-6420(98)91222-2.
OBJECTIVE
Control of intraocular pressure (IOP) after retinal surgery with scleral band placement may be problematic. In this study, outcome after silastic drainage implant placement is reviewed.
DESIGN/PARTICIPANTS: A retrospective chart review of 11 eyes in 11 patients with severe glaucoma after multiple surgeries, including scleral buckle procedures.
INTERVENTION
Patients received silastic drainage implant surgery, either a long Krupin Denver valved implant (7) or a trimmed Baerveldt seton (4).
MAIN OUTCOME MEASURES
Vision, IOP, and need for further glaucoma medication or glaucoma surgery were measured.
RESULTS
One- and 2-year life-table success rates (either complete or qualified success) were 82% and 73%, respectively, defining success as final IOP of 21 mmHg or less without need for further glaucoma surgery and no loss of visual acuity. Half of the successful eyes required antiglaucoma medication.
CONCLUSIONS
Silastic drainage implants may be a viable option in the treatment of complicated glaucoma after retinal surgery.
目的
巩膜环扎术后视网膜手术的眼压控制可能存在问题。本研究回顾了硅橡胶引流植入物置入后的结果。
设计/参与者：对11例接受过包括巩膜扣带术在内的多次手术的严重青光眼患者的11只眼进行回顾性病历分析。
干预措施
患者接受硅橡胶引流植入物手术，其中7例植入长型Krupin Denver带瓣植入物，4例植入修剪后的Baerveldt引流管。
主要观察指标
测量视力、眼压以及进一步使用青光眼药物或进行青光眼手术的必要性。
结果
1年和2年生命表成功率（完全成功或合格成功）分别为82%和73%，成功定义为最终眼压≤21 mmHg，无需进一步青光眼手术且无视力丧失。一半成功的眼睛需要使用抗青光眼药物。
结论
硅橡胶引流植入物可能是视网膜手术后复杂性青光眼治疗的一个可行选择。
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