Observation of Ex - press miniature implantation with deep sclerectomy surgery for refractory glaucoma
10.3980/j.issn.1672-5123.2016.6.39
- VernacularTitle:Ex-press微型引流器植入联合深层巩膜切除术治疗难治性青光眼
- Author:
Yu, DI
;
Qing-Zhu, NIE
;
Dian-Wen, GAO
;
Xiao-Long, CHEN
- Publication Type:Journal Article
- Keywords:
Ex- Press miniature implantation;
deep sclerectomy;
refractory glaucoma;
intraocular pressure
- From:
International Eye Science
2016;16(6):1150-1152
- CountryChina
- Language:Chinese
-
Abstract:
?AIM: To evaluate the effect for refractory glaucoma by using Ex - Press miniature implantation with deep sclerectomy.?METHODS: Thirty eyes in 24 patients with refractory glaucoma were treated by Ex- Press miniature ( P50 ) implantation with deep sclerectomy. The patients’ symptom, intraocular pressure ( IOP ) , visual acuity and complications were analyzed in a 12mo follow-up period.?RESULTS: During the follow-up period, all patients’ ocular pain was reduced. The mean IOP before operation and at the last follow-up time were 51. 15 ± 2. 60mmHg (1kPa=7. 5mmHg) and 15. 11 ± 2. 51mmHg, respectively, there was significant difference (P<0. 05). Postoperative visual acuity was improved in 8 eyes, had no significant change in 22 eyes. After operation, hyphema of anterior chamber appeared in 2 eye ( 7%) , which were obsorbed after 1wk.? CONCLUSION: Ex - Press miniature implantation combined with deep sclerectomy surgery is a relatively effective and safe treatment for the patients with refractory glaucoma. This method can significantly degrade the IOP, lessen ocular pain and reduce the complications risk.
