摘要目的 评估Ex-PRESS青光眼引流器植入联合可调整缝线治疗难治性青光眼的效果.方法 回顾性分析2013年2月至2018年4月难治性青光眼39例(39眼)的临床资料.所有患者行Ex-PRESS青光眼引流器植入联合应用可调整缝线治疗.结果 术后6个月,矫正视力提高者12眼,无明显改变者24眼,视力下降3眼.术前平均眼压(47.49±10.16) mmHg(1 mmHg=0.133 kPa).术后1天、1周、1、3及6个月平均眼压依次为(15.00±5.28) mmHg、(15.64±3.49) mmHg、(16.28±3.03) mmHg、(17.03±2.79) mmHg、(20.08±6.01) mmHg.术后各时间点眼压均低于术前,差异均有统计学意义(均为P=0.000).结论 Ex-PRESS青光眼引流器植入联合可调整缝线是难治性青光眼一种安全有效的治疗手段.

abstractsObjective To evaluate the efficacy of implantation of Ex-PRESS glaucoma drainage device implantation combined with adjustable suture in the treatment of refractory glaucoma.Methods The data of 39 eyes of 39 cases with refractory glaucoma were analyzed retrospectively,and all cases received Ex-PRESS glaucoma drainage device implantation combined with adjustable suture.Results At 6 months after operation,BCVA was improved in 12 eyes,unchanged in 24 eyes and decreased in 3 eyes.The preoperative mean intraocular pressure was (47.49 ± 10.16) mmHg(1 mmHg =0.133 kPa).The mean intraocular pressure at 1 day,1 week,1,3 and 6 months after operation were (15.00 ± 5.28) mmHg,(15.64 ± 3.49)mmHg,(16.28 ±3.03) mmHg,(17.03 ± 2.79) mmHg and (20.08 ± 6.01) mmHg.The intraocular pressure at each period after operation were lower than that before operation,and the difference were statistically significant (all P =0.000).Conclusion Ex-PRESS glaucoma drainage device implantation combined with adjustable suture is a safe and effective for refractory glaucoma.