| 改良Ahmed青光眼阀治疗难治性青光眼 |
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| 引用本文： | 杨珂,杜宁静. 改良Ahmed青光眼阀治疗难治性青光眼[J]. 眼外伤职业眼病杂志, 2011, 33(12): 912-914. DOI: 10.3760/cma.j.issn.2095-1477.2011.12.009 |
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| 作者姓名： | 杨珂 杜宁静 |
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| 作者单位： | 广西壮族自治区人民医院眼科,南宁,530021 |
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| 摘 要： | 目的探讨改良Ahmed青光眼阀治疗难治性青光眼的有效性和安全性。方法20例（20眼）难治性青光眼行改良的引流装置（Ahmed青光眼阀）植入，术后观察眼压、滤过泡的形成，采用海德堡视网膜断层扫描仪Ⅱ（HRT-Ⅱ）随访比较视盘参数。结果术后随访8个月以上，术后末次随访平均眼压与术前平均眼压比较，差异有统计学意义（P〈0．01）。视盘沿面积（RA，m^2）、盘沿体积（RV，mm^2）、平均神经纤维层厚度（mRNFL，mm）与术前比较均有改善，差异有统计学意义（P〈0．05）。结论改良Ahmed青光眼阀植入，术后眼压控制效果明显，改善患眼视盘部分结构参数。
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| 关 键 词： | Ahmed青光眼阀 青光眼 难治性 |
Modified Ahmed aqueous humor drainage device implantation for refractory glaucoma |
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| YANG Ke,DU Ning-jing. Modified Ahmed aqueous humor drainage device implantation for refractory glaucoma[J]. Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries, 2011, 33(12): 912-914. DOI: 10.3760/cma.j.issn.2095-1477.2011.12.009 |
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| Authors: | YANG Ke DU Ning-jing |
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| Affiliation: | YANG Ke, DU Ning-fing. (Department of Ophthalmology, The People＇s Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi 530021, China) |
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| Abstract: | Objective To evaluate the efficacy of the implantation of modified Ahmed aqueous drainage device for refractory glaucoma.Methods 20 cases ( 20 eyes) of refractory glaucoma underwent modified aqueous humor drainage device implantation.The intraocular pressure (IOP),filtrating bleb and the disc were observed.Results The postoperative follow-up period was eight months.There was significant statistical difference between the preoperative and postoperative IOPs (P ＜ 0.05 ).There was significant statistical difference between the preoperative and postoperative RA,RV and mRNFL (P ＜ 0.05).Conclusion Aqueous humor drainage device implantation is an effective method in management of refractory glaucoma. |
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| Keywords: | Ahmed aqueous humor drainage device Glaucoma Refractory |
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