青光眼引流阀植入术治疗难治性青光眼疗效观察

目的 评价青光眼引流阀植入术治疗难治性青光眼的疗效.方法 回顾分析我院2007年4月～2011年8月32例接受青光眼引流阀植入术的难治性青光眼的疗效,观察手术前后视力、眼压、并发症及手术成功率.结果 术后视力提高者16眼,视力无改变者12眼,视力下降者为4眼,术前眼压为28～ 67 mmHg,平均眼压为(44.3±8.9)mmHg,术后末次随诊时眼压为7.5～23.8 mmHg,平均眼压为(15.2±3.7)mmHg,术后并发症主要有术后早期浅前房、术后早期高眼压、前房出血等,手术成功率82％.结论 青光眼引流阀植入术为难治性青光眼开辟了新的有效的治疗途径;注意手术技巧可减少术后部分并发症的发生.

The effective observation and study of glaucoma valve implantation for refractory glaucoma

Objective To evaluate the effect of glaucoma valve implantation for refractory glaucoma.Methods 32 patients underwent glaucoma valve implantation were summarized retrospectively in our hospital from April 2007 to August 2011,and to observe the visual acuity,intraocular pressure,postoperative complications and the effective rate.Results The postoperative visual acuities were stable in 12 eyes,dropped in 4 eyes,improved 16 eyes.Before the operation,the intraocular pressure was 28～67 mmHg,the average intraocular pressure was(44.3±8.9) mmHg and after the operation,the intraocular pressure was 7.5～23.8 mmHg,the average intraocular pressure was(15.2±3.7) mmHg.The common postoperative complications included early postoperative shallow anterior chamber,early postoperative high intraocular pressure and anterior chamber bleeding,the success rate was 82%.Conclusion Glaucoma valve implantation is an effective method for refractory glaucoma,surgical skills can reduce postoperative complications and improve the success rate of operation.