目的:探讨Ahmed青光眼引流阀植入术治疗新生血管性青光眼的疗效及其并发症的防治。方法:回顾性分析18例18眼新生血管性青光眼行Ahmed青光眼阀植入术的疗效,主要观察指标为手术前后视力、眼压、并发症及手术成功率等,术后随访6~18mo。结果:术后最佳矫正视力不变11眼,提高5眼,下降2眼。术后眼压控制的有效率达到89%,术后并发症主要是早期的短暂性浅前房和高眼压、前房积血以及晚期的滤过道瘢痕纤维化。结论:Ahmed引流阀植入术是治疗新生血管性青光眼的一种比较有效的方法。

AIM:To study the effect of Ahmed glaucoma valve(AGV)implantation for neovascular glaucoma and prevention of its complications.METHODS:Eighteen patients underwent AGV implantation were summarized retrospectively.The visual acuity,intraocular pressure,postoperative complications and the effective rate were observed,the mean period of follow-up was 6-18 months.RESULTS:The postoperative best corrected visual acuities were stable in 11 eyes,improved in 5 eyes and dropped in 2 eyes.The success rate for intraocular pressure was 89% after the operation.The common postoperative complications included transient flat anterior chamber,high intraocular pressure and hyphema in early stage,fibrination in late stage.CONCLUSION:AGV implantation is one of the effective methods for neovascular glaucoma.

R779.6