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Incidence and Management of Encapsulated Cysts Following Ahmed Glaucoma Valve Insertion.

机译:Ahmed青光眼瓣膜插入后囊肿囊肿的发生率和处理。

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PURPOSE:: Encapsulated cysts have been inconsistently reported to occur following Ahmed glaucoma valve implant insertion. We are unaware of previous reports reviewing their management. The objective of this study was to evaluate the occurrence and management of encapsulated cyst formation following Ahmed glaucoma valve implant insertion. PATIENTS AND METHODS:: Consecutive glaucoma patients who underwent Ahmed glaucoma valve implant insertion were studied retrospectively. Inclusion criteria included a minimum of 12 months of follow-up. RESULTS:: Fifty-seven patients met inclusion criteria for analysis. Following Ahmed glaucoma valve implant insertion, 13 patients (23%) developed an encapsulated cyst. After failing medical therapy and needling with 5-fluorouracil, 11 of these patients underwent surgical excision to control intraocular pressure. Eight of the eleven patients achieved adequate control of intraocular pressure with a mean follow-up time post excision of 330 +/- 120 days. CONCLUSION:: Encapsulated cysts associated with elevated intraocular pressure were commonly seen after Ahmed glaucoma valve implant insertion. Failing medical therapy, surgical excision of the cyst is effective in lowering intraocular pressure.
机译:目的::一致报道了囊肿性囊肿在艾哈迈德青光眼瓣膜植入物插入后发生。我们不知道以前的报告正在审查其管理。这项研究的目的是评估Ahmed青光眼瓣膜植入物插入后囊肿囊肿形成的发生和处理。病人和方法:回顾性研究了接受艾哈迈德青光眼瓣膜植入术的连续性青光眼患者。纳入标准包括至少12个月的随访。结果:57名患者符合纳入标准进行分析。 Ahmed青光眼瓣膜植入物插入后,有13例患者(占23%)发展为囊状囊肿。在药物治疗失败并用5-氟尿嘧啶针刺后,这些患者中有11名接受了手术切除以控制眼内压。 11名患者中有8名获得了对眼内压的充分控制,切除后的平均随访时间为330 +/- 120天。结论:艾哈迈德青光眼瓣膜植入物植入后常见到与眼内压升高相关的囊肿。药物治疗失败后,手术切除囊肿可有效降低眼内压。

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