【作者】 杨红；

【导师】 李平华；

【作者基本信息】 重庆医科大学 ， 眼科， 2013， 硕士

【摘要】 目的：探讨Ahmed引流阀植入术治疗难治性青光眼的临床疗效。方法：回顾性分析35例（38眼）难治性青光眼患者行Ahmed青光眼阀植入术后的临床疗效及术后并发症，术后随访2-24个月，平均8.11±5.60个月。观察视力、眼压等变化，术前眼压与术后眼压分析采用配对t检验。结果：Ahmed引流阀植入术后末次随访，手术成功率为81.58%，其中完全成功27例(71.05%),基本成功4例（10.53%）。术前平均眼压41.09±14.11mmHg，术后平均眼压16.51±4.91mmHg，差异有统计学意义（t=9.58,P<0.01）。常见的并发症有低眼压7例（18.42%），前房出血6例（15.59%）,浅前房5例（13.16%），前房炎症4例（10.53%）等。结论：Ahmed青光眼阀治疗各种难治性青光眼的是一种确切有效的方法，具有较好的临床应用价值。更多还原

【Abstract】 Objective:To explore the clinical effects of Ahmed Glaucoma Valveimplant placement in the treatment of refractory glaucoma.Methods:A retrospective reveiw was conducted to document38eyesform35patients with refractory glaucoma who undergone Ahmedglaucoma vavle implantation.The follow-up ranged form2to24months(mean8.11±5.60months). Observing the changes of intraocularpressure,the vision,and analysising of preoperative intraocular pressure andpostoperative intraocular pressure by paired t test.Results:The cumulative probabilities of success was81.58%.While,the absolute success rate was71.05%and the conditional successrate was10.53%after AGV implantation IOP was reduced form apreoperative mean of (41.09±14.11)mmHg to a postoperative mean of(16.51±4.91)mmHg(t=9.58,P<0.01).The common complications includedocular hypotony(7eyes), hyphema(6eyes),shallow anterior chamber(3eyes), Anterior chamber inflammation(4eyes) and so on.Conclusions:Ahmed Glaucoma Valve is an effective way of curing refractory glaucoma, which has a comparatively high value.更多还原