平坦部改良Ahmed青光眼阀治疗顽固性青光眼的初步研究

作     者：Schlote T. Ziemssen F. Bartz-Schmidt K.U. 韩静 

作者机构：Department of OphthalmologyClinic PallasSeidenhofweg 694600 OltenSwitzerland 

出 版 物：《世界核心医学期刊文摘（眼科学分册）》 (Digest of the World Core Medical Journals:Ophthalmology)

年 卷 期：2006年第2卷第10期

页      面：31-31页

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：顽固性青光眼 Ahmed 眼压下降 低眼压 假性剥脱 干预性 滤泡 局部用药 序列研究 

摘      要：Purpose:This study was conducted to report the safety and efficacy of pars plana-modified Ahmed Glaucoma Valve PS2 in advanced secondary ***:We performed a prospective,interventional case series that included patients with advanced secondary glaucoma and uncontrolled intraocular pressure(IOP).Eleven eyes of nine patients with aphakic,neovascular,traumatic,inflammatory and pseudoexfoliation glaucoma were *** patients had pars plana vitrectomy before tube ***:One year after surgery,IOP was controlled(21 mmHg or less)in ten of 11 eyes(91%),seven(64%)did not need medical antiglaucoma *** IOP decreased from 32.2± 8.3 mmHg before surgery to 15.7± 7.7 mmHg postoperatively(P 0.0001).The average number of topically used medications used decreased from 2.9± 1.2 to 0.545± 0.78(P 0.0001).Complications included transient hypotony(three eyes-two of them without tube ligature),transient choroidal effusion(three eyes)and an intermediate increase in IOP(seven eyes).Tube exchange was performed in one eye and needling/bleb excision in two ***:Pars plana-modified Ahmed Valve implantation is effective and safe in advanced *** ligature of the tube is necessary to prevent early *** followup of patients is needed to monitor variations of IOP within the first year.