丝裂霉素C联合Ahamed青光眼阀植入术治疗难治性青光眼的疗效观察 |
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引用本文: | 罗晓亮,雷澄.丝裂霉素C联合Ahamed青光眼阀植入术治疗难治性青光眼的疗效观察[J].数理医药学杂志,2013,26(1):46-48. |
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作者姓名: | 罗晓亮 雷澄 |
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作者单位: | 武汉钢铁集团公司总医院眼科 |
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摘 要: | 目的:探讨应用MMC联合Ahamed青光眼阀植入治疗难治性青光眼的临床疗效。方法:应用MMC联合Ahamed青光眼阀植入术治疗难治性青光眼17眼17例。结果:术前眼压45.6+8.49mmHg,术后降至20.2+6.84mmHg,视力有不同程度的提高。术后并发症4例早期术后浅前房,2例前房积血,1例引流管内口堵塞。结论:应用MMC联合Ahamed青光眼阀植入,可以有效地降低难治性青光眼的眼压,减少术后并发症的发生。
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关 键 词: | 丝裂霉素C 青光眼阀 难治性青光眼 |
Effect of Mitomycin C Combined with Ahmed Glaucoma Valve Implantation for Refractory Glaucoma |
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Institution: | Luo Xiaoliang,et al(Department of Ophthalmology,General Hospital,Wuhan Steel and Iron Group Company,Wuhan 430080) |
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Abstract: | Objective:To evaluate the effect of mitomycin C(MMC) combined with Ahmed glaucoma valve implantation for refractory glaucoma.Methods:17 eyes of 17 patients who were presented with refractory glaucoma were treated with MMC combined with Ahmed glaucoma valve implantation.Cases were followed up for 6 to 24 months with observation on intraocular pressure(IOP),visual acuity and complications during or after surgery.Results:A significant decrease of IOP was noted from(45.6± 8.49) mmHg to(20.2±6.84) mmHg.Visual acuity improved to some extent.The major complications in the early stage after surgery were shallow anterior chamber in 4 cases,hyphema in 2 cases and obstruction of internal orifice of drainage tube in 1 case.Conclusion:MMC combined with Ahmed glaucoma valve implantation can effectively reduce the IOP in patients with refractory glaucoma and decrease the postoperative complications. |
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Keywords: | refractory glaucoma mitomycin C ahmed glaucoma valve |
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