国产房水引流物置入术治疗难治性青光眼远期疗效观察

１９９３年７月－１９９８年１月为１０３例难治性青光眼患者施行国产房水引流物置入术。术后平均随访３２．８月。术后１年时平均眼压２．２±１．４ｋＰａ。术后１－５年的手术成功率分别为８３．８％，８０．４％，７７．１％，７１．０％及６４．３％。

Long-term follow-up study on Hunan aqueous drainage implantation for refractory glaucoma]

One hundred and three cases(106 eyes) of refractory glaucoma underwent Hunan aqueous drainage (HAD) implantation from July 1993 to January 1998. The mean period of postoperative follow-up was 32.8 months. The intraocular pressure(IOP) was decreased from preoperative 6.6 +/- 1.8 kPa to postoperative 2.2 +/- 1.4 kPa at the 1st year after surgery. The success rates were 83.8% at the 1st year, 80.4% at the 2nd year, 77.1% at the 3rd year, 71.0% at the 4th year, and 64.3% at the 5th year using Kaplan-Meier lifetable analysis. The neovascular glaucoma had lower success rate. The success rate in 38 patients who were used adjunctively with mitomycin C in the operation was 89.5% at the 1st year. The common complications included early continuous flat anterior chamber, local choroidal detachment, increased IOP, and so on. This study suggests that HAD implantation is an effective method in the treatment of refractory glaucoma in spite of its complications.