目的:探讨透明质酸钠联合青光眼阀治疗难治性青光眼的中远期疗效,探讨手术并发症的预防和处理。方法:采用透明质酸钠联合青光眼阀治疗难治性青光眼27例27眼,术后随访6～22mo。结果:术前眼压46.70±9.31mmHg,术后降至20.60±7.31mmHg,视力有不同程度的提高。术后并发症1例阀门管位置欠佳,经调整后得到改善,2例前房积血,用药后吸收。结论:使用透明质酸钠联合Ahmed青光眼阀植入,可以有效地降低难治性青光眼的眼压,减少术后并发症的发生。

AIM:To investigate the the long-term efficacy of combination of sodium hyaluronate and Ahmed glaucoma valve for refractory glaucoma and the prevention and treatment for surgical complications.METHODS:Twenty-seven patients 27 eyes with refractory glaucoma were treated with sodium hyaluronate and Ahmed glaucoma valve and followed up from 6 to 22 months.RESULTS:Postoperative intraocular pressure(IOP)declined from 46.70±9.31mmHg preoperatively to 18.7±6.85mmHg.Visual acuity was improved to some extent.Displacement of glaucoma valve was found in 1 case and improved with adjustment.Hyphema was found in 2 cases and absorbed with medication.CONCLUSION:Sodium hyaluronate combined with Ahmed glaucoma valve can effectively reduce the IOP in patients with refractory glaucoma and decrease the postoperative complications.

R779.6