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目的 :评价房水引流管植入术对抗青光眼术后眼压不降的治疗效果 ,探讨其并发症及预防。方法 :对 30例抗青光眼手术术后眼压不降的患者施行房水引流管植入术 ,术后随访 3～ 36个月。结果 :眼压由术前 3 5 0～ 8 34(5 5 7± 1 2 3)kPa下降至 0 40～ 3 5 8(2 36± 1 0 8)kPa ,手术成功率为 80 % (2 4/30 ) ,术后视力提高或保持不变 83% (2 5 /30 )。并发症包括前房出血、浅前房、脉络膜脱离、引流管内口堵塞、引流管外露。结论 :房水引流管植入术是抗青光眼术后眼压不降再手术的一种有效治疗方法 ,但存在一些并发症 ,应引起医生的重视。
OBJECTIVE: To evaluate the therapeutic effect of aqueous humor drainage tube implantation against glaucoma postoperative intraocular pressure (IOP), and to explore its complications and prevention. Methods: A total of 30 patients with intraocular pressure (IOP) after glaucoma surgery were treated with aqueous humor drainage. The patients were followed up for 3 to 36 months. Results: The intraocular pressure decreased from 35 to 8 34 (57 ± 123) kPa to 0 40 to 358 (2 36 ± 1 0 8) kPa preoperatively, and the success rate was 80% (2 4 / 30), postoperative visual acuity improved or remained unchanged 83% (25/30). Complications include anterior chamber bleeding, shallow anterior chamber, choroidal detachment, drainage tube plug, drainage tube exposed. Conclusion: Aqueous humor drainage tube implantation is an effective treatment for preventing intraocular pressure from recurrence after glaucoma surgery. However, there are some complications that should be paid more attention to by doctors.