目的 评价FP-7Ahmed青光眼引流阀治疗新生血管性青光眼的临床疗效.方法 回顾性分析我院2008年1月~2011年10月收治住院行FP-7Ahmed青光眼引流阀植入术治疗的100例(100只眼)新生血管性青光眼患者的临床资料.患者随访时间为术后1 d、1周、1个月及之后的每3个月随访1次.随访内容主要包括患者观察患者术后1 d、1周、1个月、3个月及末次随访眼压、手术成功率及并发症情况.结果 本组患者术前眼压(39.5±9.7)mm Hg;术后1 d、1周、1个月、3个月及末次随访眼压分别为(19.2±8.9)、(11.8±3.8)、(13.7±4.8)、(16.9±5.3)、(16.9±6.8)mm Hg.不同时间点的眼压比较,差异有统计学意义(F = 9.26,P < 0.05).FP-7Ahmed引流阀植入术完全成功率为81%(81/100),部分成功率为11%(11/100),总成功率为92%(92/100);术后并发症主要包括引流管阻塞1例、引流管暴露2例、引流管接触晶状体5例,对症治疗处理后眼压均可控制.结论 FP-7Ahmed青光眼引流阀植入术治疗新生血管性青光眼,安全有效,并发症少,可以作为新生血管性青光眼患者的首选治疗方式之一.%Objective To evaluate the effect of FP-7Ahmed glaucoma drainage valve in the treatment of neovascular glaucoma. Methods Clinical data of 100 patients with neovascular glaucoma (100 eyes) treated with FP-7 Ahmed glaucoma drainage valve implantation from January 2008 to October 2011 in our hospital were retrospectively analyzed. The patients were followed up for one time in the 1 d, 1 week, 1 month and every 3 months after operation. The follow—up content mainly included intraocular pressure, the success rate and complications of patients in 1 day, 1 week, 1 month, 3 months and the last time follow—up. Results Preoperative intraocular pressure of the patients was (39.5±9.7) mm Hg; and intraocular pressure in 1 day, 1 week, 1 month, 3 months and the last lime of follow—up were (19.2±8.9), (11.8+3.8), (13.7±4.8), (16.9+5.3), (16.9+6.8) mm Hg, respectively; intraocular pressure in different time points were compared,the difference was statistically significant (F = 9.26, P < 0.05). Completely success rate of FP—7 Ahmed drainage valve implantation was 81% (81/100), part success rate was 11% (11/100), the total success rate was 92% (92/100); postoperative complication included the tube obstruction in 1 case, tube exposed in 2 cases, the tube contact lens in 5 cases, and intraocular pressure can be controlled after symptomatic treatment. Conclusion FP-7 Ahmed glaucoma drainage valve implantation is safe and effective in the treatment of neovascular glaucoma, the complication is little, so can be used as one of the preferred treatment method.
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