| 徐国芬.Ex-PRESS引流钉治疗难治性青光眼的临床疗效观察[J].实用中西医结合临床,2018,18(12): |
| Ex-PRESS引流钉治疗难治性青光眼的临床疗效观察 |
| Clinical observation of ex-PRESS drainage nail in the treatment of refractory glaucoma |
| 投稿时间：2018-08-17 修订日期：2018-08-23 |
| DOI： |
| 中文关键词: Ex-PRESS引流钉 难治性青光眼 眼压 并发症 |
| 英文关键词: Ex-PRESS drainage nail refractory glaucoma intraocular pressure complications |
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| 中文摘要: |
| 目的:观察Ex-PRESS引流钉在难治性青光眼治疗中的临床疗效。方法:收集经视力、眼压、房角镜、相关光学断层扫描等检查确诊为难治性青光眼患者共16例16眼。术后每日行视力、眼压、裂隙灯检查。统计手术前与术后1个月、3个月、6个月的视力、眼压等临床数据资料，观察其疗效及并发症。结果:术前平均眼压42.7±11.0mmHg，术后1个月、3个月、6个月平均眼压为17.4±10.6、15.5±12.6mmHg和11.6±5.4mmHg,且具有统计学意义(P |
| 英文摘要: |
| Objective: Observing the clinical efficacy of Ex-PRESS drainage nail in the treatment of refractory glaucoma. Methods: Collection of 16 cases of 16 eyes diagnosed as refractory glaucoma by visual acuity, intraocular pressure , gonioscopic mirror, and related optical tomography. Visual acuity, intraocular pressure, and slit lamp examination were performed daily after surgery. The clinical data of visual acuity and intraocular pressure before and after surgery, 1 month, 3 months and 6 months after operation were counted, and the curative effect and complications were observed. Results: The mean intraocular pressure was 42.7±11.0mmHg before operation, and the mean intraocular pressure at 1 month, 3months and 6months after operation was 17.4±10.6,15.5±12.6mmHg and 11.6±5.4mmHg .The difference was statistically P<0.001＜0.05) . Four patients had improved visual acuity at 6 months after operation, and 12 patients had no significant changes. Early complications were mainly corneal edema, anterior chamber exudation, shallow anterior chamber or anterior chamber hemorrhage, and low intraocular pressure, of which 14 cases were in good condition. Cases of shallow anterior chamber and low intraocular pressure, but no serious complications such as anterior chamber disappearance, intraocular infection, and explosive choroidal hemorrhage .Conclusion: Ex-PRESS drainage nail implantation is safe and effective in the treatment of refractory glaucoma, with low intraoperative risk and few postoperative complications. |
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