本文選題：難治性青光眼 + 兒童�。� 參考：《浙江大學(xué)》2010年碩士論文

【摘要】： 目的評價(jià)難治性兒童青光眼Ahmed閥門植入術(shù)后的近期療效以及相關(guān)手術(shù)并發(fā)癥及處理。 材料與方法隨訪2008年3月至2010年3月期間于浙江大學(xué)醫(yī)學(xué)院附屬第二醫(yī)院眼科中心住院病人中行Ahmed閥門植入術(shù)治療的難治性兒童青光眼患兒4例,年齡6-10歲,隨訪時(shí)間7-24月,觀察術(shù)后眼壓控制、視力、手術(shù)并發(fā)癥、用青光眼藥物等情況,評價(jià)術(shù)后的近期和遠(yuǎn)期療效,手術(shù)相關(guān)并發(fā)癥及防治等。通過文獻(xiàn)檢索,綜述有關(guān)閥門植入術(shù)治療兒童青光眼的相關(guān)研究和進(jìn)展。 結(jié)果2008年3月至2010年3月期間本院住院兒童青光眼患者中行Ahmed閥門植入術(shù)治療的共4例(4只眼),其中1例Sturge-Weber綜合征繼發(fā)青光眼、1例Coat's病繼發(fā)青光眼和2例濾過手術(shù)失敗的先天性青光眼。4名患兒行青光眼閥門植入手術(shù)。4例術(shù)后眼壓均較術(shù)前明顯下降,使用的降眼壓藥物明顯減少；均無術(shù)中并發(fā)癥發(fā)生；術(shù)后視力穩(wěn)定同術(shù)前；僅1眼(Coat's病)術(shù)后16月時(shí)因視網(wǎng)膜脫離導(dǎo)致低眼壓和淺前房,出現(xiàn)引流管口與角膜內(nèi)皮層接觸,顳上方角膜內(nèi)皮失代償,無其他術(shù)中及術(shù)后并發(fā)癥發(fā)生。 結(jié)論青光眼閥門植入術(shù)對于這4例難治性兒童青光眼的術(shù)后近期眼壓控制較好,無術(shù)中并發(fā)癥發(fā)生。閥門植入術(shù)可考慮作為難治性兒童青光眼的首選術(shù)式。關(guān)于青光眼閥門對兒童患者治療的有效性,尤其是長期有效性還需更多的臨床研究。
[Abstract]:Objective to evaluate the short-term effect of Ahmed valve implantation for refractory glaucoma in children. Materials and methods from March 2008 to March 2010, 4 children (aged 6-10 years) with refractory glaucoma treated by Ahmed valve implantation were followed up for 7-24 months. Intraocular pressure control, visual acuity, postoperative complications and glaucoma drugs were observed to evaluate the short-term and long-term results, surgical complications, prevention and treatment. This paper reviews the research and progress of valve implantation in the treatment of glaucoma in children. Results from March 2008 to March 2010, 4 cases of glaucoma were treated with Ahmed valve implantation, including 1 case of Sturge-Weber syndrome secondary glaucoma, 1 case of Coat's disease secondary glaucoma and 2 cases of filtering hands. The intraocular pressure of 4 children with congenital glaucoma who failed surgery was significantly lower than that before operation, and the intraocular pressure of 4 patients who underwent glaucoma valve implantation was significantly lower than that before operation. No intraoperative complications occurred; postoperative visual acuity was stable with preoperative; only 1 eye had Coatsdisease) 16 months after operation, low intraocular pressure and shallow anterior chamber were caused by retinal detachment, and there was contact between drainage orifice and corneal endothelium. The superior temporal corneal endothelium was decompensated and no other intraoperative and postoperative complications occurred. Conclusion the intraocular pressure of the 4 cases of refractory glaucoma was well controlled after glaucoma valve implantation, and no intraoperative complications occurred. Valve implantation can be considered as the first choice for refractory glaucoma in children. More clinical research is needed on the effectiveness of glaucoma valves in the treatment of children, especially in the long-term.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2010
【分類號】：R779.6

【共引文獻(xiàn)】

相關(guān)期刊論文 前1條

1 周琴;鄭家偉;;Sturge-Weber綜合征研究進(jìn)展[J];中國口腔頜面外科雜志;2008年03期

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本文編號：1934098