Ahmed青光眼引流阀植入联合1.8 mm微切口白内障超声乳化术治疗合并白内障的难治性青光眼

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Abstract Objective To evaluate the efficacy and safety of Ahmed valve implantation combined with 1.8 mm-incision phacoemulsification in the treatment of patients with medically uncontrolled glaucoma coexisting cataract.Methods The authors retrospectively reviewed the records of 21 consecutive patients with refractory glaucoma incorporated cataract who underwent a 1.8 mm-incision phacoemulsification combined with placement of an Ahmed valve implant.Control of intraocular pressure (IOP),pre-and postoperative best-corrected visual acuity,corneal curvature and the development of intra-and postoperative complications were evaluated during the follow-up.Results The mean follow-up was 11.7 months (range,8 to 21 months). Mean preoperative IOP was (37.9 ± 10.2) mmHg and mean postoperative IOP at the last visit was (14.3 ±5.8) mmHg (t=9.19,P＜0.01).Two patients needed antiglaucoma medication.Postoperative visual acuity improved in all 21 eyes, and the best-corrected visual acuity in these eyes improved from (0.19±0.11) to (0.57 ±0.14) (t=11.45,P＜0.01).The preoperative corneal curvature was (0.80±0.21) D while the postoperative corneal curvature was (0.78±0.3) D (t=0.19,P=0.85).The early complications occurred were transient hypotony with choroidal detachment in one case, which amended within 1 week and microscopic hyphema in 2 patients which disappeared the second day. The main late postoperative complication was an encapsulated bleb, which occurred in 2 patients and led to high IOP.Conclusion The combination of 1.8 mm-incision phacoemulsification combined with placement of an Ahmed valve implant is safe and effective in uncontrolled glaucoma incorporated cataract.

Key words： glaucoma Ahmed valve implant 1.8 mm-incision phacoemulsification cataract

Received: 04 September 2017

PACS:

R776.1

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	MA Jianli
	WANG Jibing
	ZHANG Min
	JIANG Yaqin

Cite this article:

MA Jianli,WANG Jibing,ZHANG Min, et al. Ahmed glaucoma valve implantation combined with 1.8mm-incision phacoemulsification for refractoryglaucoma coexisting cataract[J]. 滨州医学院学报, 2017, 40(5): 326-329.

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http://manu58.magtech.com.cn/Jwk_bzyxy/EN/ OR http://manu58.magtech.com.cn/Jwk_bzyxy/EN/Y2017/V40/I5/326

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