玻璃体切割术全视网膜激光光凝联合 Ahmed 阀植入治疗NVG

摘要

AIM: To evaluate the efficacy of vitrectomy and pan-retinal photocoagulation followed with Ahmed implantation in management of neovascular glaucoma ( NVG) retrospectively. METHODS: Vitrectomy combined with pan retinal photocoagulation and Ahmed implantation was performed on 15 cases ( 15 eyes ) with NVG. All patients were followed up for 12 ~ 36mo. The change of intraocular pressure (IOP), visual acuity, neovascularization of iris, complications were observed. RESULTS: The visual acuity of 10 eyes was improved postoperative. IOP of postoperative 1, 6 and 12mo were decreased significantly compared with preoperative ( P<0.01 ) . Neovascularization of iris was reduced dramatically. No serious complications occurred. CONCLUSION: Vitrectomy combined with pan retinal photocoagulation followed Ahmed implantation can manage NVG effectively.%目的：回顾分析玻璃体切割全视网膜光凝术联合 Ahmed阀植入治疗新生血管性青光眼的疗效。　　方法：新生血管性青光眼15例15眼,行玻璃体切割术、全视网膜光凝术、Ahmed阀植入,合并的白内障同时超声乳化吸除,术后随访12~36mo,观察手术前后视力、眼压改变、新生血管消退情况和并发症等。　　结果：术后15眼中10眼视力不同程度提高。术后1,6,12 mo眼压与术前眼压的差异均具有统计学意义( P<0.01)。术后虹膜新生血管消退。无严重并发症。　　结论：玻璃体切割全视网膜光凝术联合Ahmed阀植入能有效治疗新生血管性青光眼。