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  • 标题:Combined Operation Assosciated with Ahmed Glaucoma Valve Implantation
  • 本地全文:下载
  • 作者:Kim, Hyun A ; Park, Ka Hee ; Park, Tae Kwann
  • 期刊名称:Journal of the Korean Ophthalmological Society
  • 印刷版ISSN:0378-6471
  • 出版年度:2014
  • 卷号:55
  • 期号:4
  • 页码:578-584
  • DOI:10.3341/jkos.2014.55.4.578
  • 语种:Korean
  • 出版社:The Korean Ophthalmological Society
  • 摘要:Purpose

    To evaluate surgical results after combined operation associated with Ahmed glaucoma valve (AGV) implantation.

    Methods

    A retrospective review was performed for 71 eyes of 67 patients who underwent combined operation associated with AGV implantation from June 2003 to August 2012.

    Results

    Pars plana vitrectomy or phacoemulsification combined with AGV implantation were performed for 16 eyes and AGV implantation alone was performed in 55 eyes. Mean IOP (mm Hg) and the number of antigluacoma agents for both the combined and single groups showed a statistically significant decrease (combined/single; p = 0.008/0.000, 0.002/ 0.000). Visual acuity (log MAR) was improved, but these differences were not statistically significant (combined/single; p = 0.309/0.052).

    Conclusions

    Combined vitrectomy or phacoemulsification and AGV implantation for intractable glaucoma with vitreoretinal disease or cataract is considered to be the primary procedure because of its equivalent efficacy in lowering IOP, improving visual acuity and decreasing the number of glaucoma agents.

  • 关键词:Ahmed glaucoma valve implantation; Combined surgery; Phacoemulsification; Vitrectomy
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