| 引用本文： |
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陈杰,吴佳慧,李倩,等.改良型Ahmed减压阀植入术联合白内障超声乳化术治疗难治性青光眼的临床研究[J].同济大学学报（医学版）,2018,39(2):107-111. [点击复制]
- CHEN Jie,WU Jia-hui,LI Qian,et al.Improved Ahmed glaucoma valve implantation with phacoemulsification in treatment of refractory glaucoma patients[J].同济大学学报（医学版）,2018,39(2):107-111. [点击复制]
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| 摘要: |
| 目的评价改良型青光眼减压阀植入术及联合白内障超声乳化摘除术治疗难治性青光眼的临床效果。方法回顾性分析行单纯改良型Ahmed青光眼引流阀植入术（单纯组8眼）或联合白内障超声乳化术治疗（联合组8眼）的14例（16眼）难治性青光眼患者临床资料，术后随访1、3、6、12个月。结果术后患者使用抗青光眼药物的种类及数量较术前显著降低，且联合组用药种类及数量显著低于对照组，差异具有统计学意义。结论改良型Ahmed青光眼减压阀植入术联合白内障超声乳化术可显著减少术后抗青光眼药物使用种类及数量，可作为治疗难治性青光眼的治疗方式之一。 |
| 关键词: 青光眼引流植入物 白内障超声乳化术 难治性青光眼 治疗结果 |
| DOI：10.16118/j.1008-0392.2018.02.021 |
| 投稿时间：2017-07-31 |
| 基金项目:江西省自然科学基金面上项目（20171BAB205048） |
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| Improved Ahmed glaucoma valve implantation with phacoemulsification in treatment of refractory glaucoma patients |
| CHEN Jie,WU Jia-hui,LI Qian,CUI Hong-ping |
| (Dept. of Ophthalmology, East Hospital, Tongji University, Shanghai 200120, China) |
| Abstract: |
| ObjectiveTo evaluate the clinical efficacy and safety of improved Ahmed glaucoma valve(AGV) implantation with phacoemulsification in treatment of refractory glaucoma patients. MethodsClinical data of 14 patients(16 eyes) with refractory glaucoma, who underwent improved AGV implantation with (AGV+phaco group, n=8) or without phacoemulsification(AGV group, n=8) were retrospectively analyzed. Treatment outcomes were followed up at 1, 3, 6 and 12 months after surgery, and compared between two groups. ResultsThe intraocular pressure(IOP) and the incidence of postoperative complications were significantly decreased after operation in both groups. The numbers of anti-glaucoma medication were significantly reduced after operation in both groups, while the number of medication in AGV+phaco group was lower than that in AGV group. ConclusionThe improved AGV implantation with phacoemulsification has a stable IOP-lowering effect and fewer complications, and can be considered as the choice for management of refractory glaucoma. |
| Key words: Ahmed glaucoma valve phacoemulsification refractory glaucoma treatment outcome |
