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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。
[Key word]
[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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