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目的 :三种青光眼房水引流物治疗难治性青光眼 ,评价三种不同类型的青光眼房水引流物的临床治疗效果。方法 :49例难治性青光眼其中新生血管性青光眼 19例 ,2 5例继发性青光眼 ,2例先天性青光眼 ,3例恶性青光眼 ,均施行颞上象限前房到赤道部区域的青光眼房水引流物的植入术 ,其中用 molteno植入 6例 ,用 Baerveldt植入 8例 ,用 Ahmed植入 35例。结果 :用 molteno植入术后一个月 ,4例眼压在 1.37k Pa～ 2 .12 k Pa,成功率 6 6 .7% ,用 Baerveldt植入术后一个月 ,5例眼压在 1.0 4k Pa～ 2 .5 1k Pa,成功率 75 % ,5例随诊 5个月以上 ,3例眼压在 1.0 4k Pa～ 2 .31k Pa,成功率 6 0 %。用 Ahmed植入 35例 ,12例新生血管性青光眼 ,术后一个月眼压在 1.0 4k Pa～ 2 .74kpa,成功率 83% ,8例随诊 6个月以上 ,眼压在 1.78k Pa～ 2 .74k Pa,成功率 6 6 .7% ,19例继发性青光眼 ,术后一个月 ,15例眼压在 1.4k Pa～ 2 .98k Pa,成功率 79% ,8例术后观察随诊 12个月以上 ,5例眼压在 1.6 0 k Pa～2 .92 k Pa成功率 6 2 .5 %。手术并发症包括短暂性前房出血 ,术后低眼压 ,短暂性浅前房 ,引流管外露 ,结膜伤口瘘 ,暴发性脉络膜出血 ,渗出性脉络膜出血等。结论 :三种不同类型的房水引流物在治疗难治性青光眼中仍不失为治疗这?
Objective: Three kinds of glaucoma aqueous humor drainage in the treatment of refractory glaucoma, evaluation of three different types of glaucoma aqueous humor drainage clinical therapeutic effect. Methods: Ninety-nine patients with refractory glaucoma, including 19 cases of neovascular glaucoma, 25 cases of secondary glaucoma, 2 cases of congenital glaucoma and 3 cases of malignant glaucoma, were performed glaucoma aqueous humor in the anterior chamber to the equatorial region of the superior temporal quadrant Implants were implanted in 6 cases with molteno, 8 with Baerveldt and 35 with Ahmed. RESULTS: One month after molteno implantation, the intraocular pressure of 4 patients was 1.37kPa ~ 2.12kPa with a success rate of 6.67%. One month after Baerveldt implantation, the intraocular pressure of 5 patients was 1.04k Pa ~ 2. 1k Pa, the success rate of 75%, 5 cases were followed up for more than 5 months, 3 cases of intraocular pressure at 1.04k Pa ~ 2.31k Pa, the success rate of 60%. With Ahmed implantation in 35 cases and 12 cases of neovascular glaucoma, the intraocular pressure of one month after operation was 1.0 4k Pa ~ 2.74kpa, the success rate was 83%, 8 cases were followed up for 6 months or more, the intraocular pressure was 1.78k Pa ~ 2.74k Pa, the success rate of 6.67%, 19 cases of secondary glaucoma, one month after surgery, 15 cases of intraocular pressure in the 1.4k Pa ~ 2.98k Pa, the success rate of 79%, 8 cases of postoperative observation with For more than 12 months, the success rate of IOP was 1.6 2.5 kPa ~ 2.92 kPa in 5 cases. Surgical complications include transient anterior chamber bleeding, postoperative hypotensive pressure, transient shallow anterior chamber, drainage tube, conjunctival wound fistula, fulminant choroidal hemorrhage, exudative choroidal hemorrhage and so on. CONCLUSIONS: Three different types of aqueous humor drainage treat this condition in the treatment of refractory glaucoma?