目的:探讨Ahmed青光眼阀植入治疗难治性青光眼的临床效果。方法:采用Ahmed青光眼阀植入术治疗难治性青光眼18例,观察手术前后视力和眼压的变化及术后并发症的情况,术后平均随访3～12mo。结果:术后1mo时眼压由术前51.53±6.57mmHg降至16.82±5.63mmHg,总成功率为95%;随访3mo时,眼压由术前51.53±6.57mmHg降至17.14±6.38mmHg,总成功率为89%;随访≥12mo者15眼,眼压由术前50.36±7.92mmHg降至18.35±7.24mmHg,总成功率为73%。结论:采用Ahmed青光眼阀植入术治疗难治性青光眼,操作简便、术后恢复快、并发症少、眼压控制较理想,保存患者残存视力,是治疗难治性青光眼的有效方法。

AIM:To explore the clinical effect of the Ahmed glaucoma valve implantation for treetment of refractory glaucoma. ·METHODS:Totally 18 patients with refractory glaucoma underwent glaucoma surgery using Ahmed glaucoma valve.The changes of intraocular pressure,the vision and postoperative complications were observed. Follow-up time was from 3 to 12 months.·RESULTS:At the postoperative month 1,the intraocular pressure was changed from 51.53±6.57mmHg to 16.82±5.63mmHg,and the successful rate was 95%; at the postoperative month 3,the intraocular pressure was changed from 51.53±6.57mmHg to 17.14±6.38mmHg,and the successful rate was 89%; for those eyes with the follow-up ≥12 months(n=15),the intraocular pressure was changed from 50.36±7.92mmHg to 18.35±7.24mmHg,and the successful rate was 73%.·CONCLUSION:The glaucoma surgery using Ahmed glaucoma valve is an effective method for refractory glaucoma,and this is a simple operation,rapid recovery,fewer complications,better intraocular pressure and vision.

R779.6