Ex—PRESS青光眼引流器植入在青白联合手术中的应用(1)
【摘要】 目的：探讨Ex-PRESS青光眼引流器在青白联合手术中的临床疗效及安全性。方法：选择2013年6月-2014年6月本院收治的慢性闭角型青光眼(CPACG)合并白内障患者25例作为研究对象，所选患者均在青白联合手术中植入Ex-PRESS青光眼引流器。术后1、3 d，1周及1、6个月随访，记录患者视力、眼压(IOP)、前房深度(ACD)、局部用药数量、滤过泡及种类及有无并发症等情况。结果：术后各个时间段IOP均低于术前，术后ACD高于术前，术后视力优于术前，以上比较差异均有统计学意义(P<0.05)。本研究无一例发生严重并发症，功能性滤过泡18例，手术完全成功率72%，条件成功率28%。结论：Ex-PRESS青光眼引流器用于青白联合手术中安全、可靠。
【关键词】 Ex-PRESS青光眼引流器； 慢性原发性闭角型青光眼； 青白联合手术
Application of Ex-PRESS Glaucoma Filtration Device in Operation of Glaucoma with Cataract/CHEN Li-na，ZOU Ji-xin，LI Tian-tian.//Medical Innovation of China，2015，12(34)：140-143
, 百拇医药
【Abstract】 Objective：To evaluate the clinical effect and security of Ex-PRESS glaucoma filtration device in operation of glaucoma with cataract.Method：25 patients with CPACG and cataract in our hospital from June 2013 to June 2014 were selected as the research objects.All patients were implanted Ex-PRESS glaucoma filtration device in the operation of glaucoma with cataract.Follow-up was given to the patients 1 day，3 days，1 week，1 month and 6 months after operation.The visual acuity，intraocular pressure，anterior chamber depth，quantity and types of medicine，filtering bleb and complications of the patients were recorded.Result：The postoperative IOP of different time was lower than the preoperative IOP，the postoperative ACD was higher than preoperative，the postoperative visual acuity was better than before treatment，the differences were all statistically significant(P<0.05).All patients didn’t suffer from serious complications.There was 18 cases of functional filtering blebs.The rate of completely success operation was 72%，the rate of conditional success operation was 28%.Conclusion： Ex-PRESS glaucoma filtration divice in the operation of glaucoma with cataract is safe and effective.
, 百拇医药
【Key words】 Ex-PRESS glaucoma filtration device； Chronic primary angle-closure glaucoma； Operation of glaucoma with cataract
First-author’s address：The Third People’s Hospital of Dalian City，Dalian 116023，China
doi：10.3969/j.issn.1674-4985.2015.34.047
慢性原发性闭角型青光眼(chronic primary angle-closure glaucoma，CPACG)的发生是由于眼前段解剖结构异常，晶体虹膜隔前移，瞳孔阻滞，周边虹膜贴向并阻塞小梁网而使房水外流阻力增加，房水流出通道关闭，IOP升高造成。同时原发性慢性闭角型青光眼常合并有白内障存在，晶状体增厚与青光眼发病有一定的关系[1-3]。治疗原发性慢性闭角型青光眼的方法是虹膜周边切除术或滤过手术，但术后往往有白内障加速发展，可能青光眼术后还需要行白内障摘除手术。合并有白内障的原发性闭角型青光眼，传统上用小梁切除术联合白内障摘除，术后滤过泡扁平，前房反应重，可能会出现前房浅、脉络膜脱离等并发症。自从Ex-PRESS青光眼引流器问世以来，常用在开角型青光眼患者中，疗效稳定，已经有研究表明Ex-PRESS青光眼引流器很安全[4-5]。本研究选择原发性慢性闭角型青光眼合并白内障患者为观察对象，进行Ex-PRESS青光眼引流器植入术联合白内障超声乳化吸除及人工晶体植入术治疗，目的在于探讨Ex-PRESS青光眼引流器在青白联合手术中的临床疗效及安全性，现报道如下。, http://www.100md.com(陈丽娜 邹吉新 李添天)
【关键词】 Ex-PRESS青光眼引流器； 慢性原发性闭角型青光眼； 青白联合手术
Application of Ex-PRESS Glaucoma Filtration Device in Operation of Glaucoma with Cataract/CHEN Li-na，ZOU Ji-xin，LI Tian-tian.//Medical Innovation of China，2015，12(34)：140-143
, 百拇医药
【Abstract】 Objective：To evaluate the clinical effect and security of Ex-PRESS glaucoma filtration device in operation of glaucoma with cataract.Method：25 patients with CPACG and cataract in our hospital from June 2013 to June 2014 were selected as the research objects.All patients were implanted Ex-PRESS glaucoma filtration device in the operation of glaucoma with cataract.Follow-up was given to the patients 1 day，3 days，1 week，1 month and 6 months after operation.The visual acuity，intraocular pressure，anterior chamber depth，quantity and types of medicine，filtering bleb and complications of the patients were recorded.Result：The postoperative IOP of different time was lower than the preoperative IOP，the postoperative ACD was higher than preoperative，the postoperative visual acuity was better than before treatment，the differences were all statistically significant(P<0.05).All patients didn’t suffer from serious complications.There was 18 cases of functional filtering blebs.The rate of completely success operation was 72%，the rate of conditional success operation was 28%.Conclusion： Ex-PRESS glaucoma filtration divice in the operation of glaucoma with cataract is safe and effective.
, 百拇医药
【Key words】 Ex-PRESS glaucoma filtration device； Chronic primary angle-closure glaucoma； Operation of glaucoma with cataract
First-author’s address：The Third People’s Hospital of Dalian City，Dalian 116023，China
doi：10.3969/j.issn.1674-4985.2015.34.047
慢性原发性闭角型青光眼(chronic primary angle-closure glaucoma，CPACG)的发生是由于眼前段解剖结构异常，晶体虹膜隔前移，瞳孔阻滞，周边虹膜贴向并阻塞小梁网而使房水外流阻力增加，房水流出通道关闭，IOP升高造成。同时原发性慢性闭角型青光眼常合并有白内障存在，晶状体增厚与青光眼发病有一定的关系[1-3]。治疗原发性慢性闭角型青光眼的方法是虹膜周边切除术或滤过手术，但术后往往有白内障加速发展，可能青光眼术后还需要行白内障摘除手术。合并有白内障的原发性闭角型青光眼，传统上用小梁切除术联合白内障摘除，术后滤过泡扁平，前房反应重，可能会出现前房浅、脉络膜脱离等并发症。自从Ex-PRESS青光眼引流器问世以来，常用在开角型青光眼患者中，疗效稳定，已经有研究表明Ex-PRESS青光眼引流器很安全[4-5]。本研究选择原发性慢性闭角型青光眼合并白内障患者为观察对象，进行Ex-PRESS青光眼引流器植入术联合白内障超声乳化吸除及人工晶体植入术治疗，目的在于探讨Ex-PRESS青光眼引流器在青白联合手术中的临床疗效及安全性，现报道如下。, http://www.100md.com(陈丽娜 邹吉新 李添天)