玻璃体切割术全视网膜激光光凝联合Ahmed阀植入治疗NVG
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Effect of vitrectomy and pan retinal photocoagulation concomitant with Ahmed implantation in management of neovascular glaucoma
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    摘要:

    目的:回顾分析玻璃体切割全视网膜光凝术联合Ahmed阀植入治疗新生血管性青光眼的疗效。

    方法:新生血管性青光眼15例15眼,行玻璃体切割术、全视网膜光凝术、Ahmed阀植入,合并的白内障同时超声乳化吸除,术后随访12~36mo,观察手术前后视力、眼压改变、新生血管消退情况和并发症等。

    结果:术后15眼中10眼视力不同程度提高。术后1,6,12mo眼压与术前眼压的差异均具有统计学意义(P<0.01)。术后虹膜新生血管消退。无严重并发症。

    结论:玻璃体切割全视网膜光凝术联合Ahmed阀植入能有效治疗新生血管性青光眼。

    Abstract:

    AIM: To evaluate the efficacy of vitrectomy and pan-retinal photocoagulation followed with Ahmed implantation in management of neovascular glaucoma(NVG)retrospectively.

    METHODS: Vitrectomy combined with pan retinal photocoagulation and Ahmed implantation was performed on 15 cases(15 eyes)with NVG. All patients were followed up for 12~36mo. The change of intraocular pressure(IOP), visual acuity, neovascularization of iris, complications were observed.

    RESULTS: The visual acuity of 10 eyes was improved postoperative. IOP of postoperative 1, 6 and 12mo were decreased significantly compared with preoperative(P<0.01). Neovascularization of iris was reduced dramatically. No serious complications occurred.

    CONCLUSION: Vitrectomy combined with pan retinal photocoagulation followed Ahmed implantation can manage NVG effectively.

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陈海英,项晓丽,黄正如.玻璃体切割术全视网膜激光光凝联合Ahmed阀植入治疗NVG.国际眼科杂志, 2015,15(4):717-719.

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  • 收稿日期:2015-01-28
  • 最后修改日期:2015-03-25
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  • 在线发布日期: 2015-04-08
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