Glaucoma Tube Shunt Implantation Through the Ciliary Sulcus in Pseudophakic Eyes With High Risk of Corneal Decompensation
Glaucoma Tube Shunt Implantation Through the Ciliary Sulcus in Pseudophakic Eyes With High Risk of Corneal Decompensation
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DOI：
10.1097/ijg.0b013e3181bdb52d
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发表时间：
2010-08-01
影响因子：
2
通讯作者：
Weiner, Adam J.
中科院分区：
文献类型：
--
作者：
Weiner, Asher;Cohn, Aaron D.;Weiner, Adam J.
目的：总结我们的临床经验与植入Baerveldt青光眼管分流通过睫状沟的眼睛后房型人工透镜和浅前房，角膜移植，滴或edge.Patients和方法：回顾性干预非随机非比较病例系列。主要观察指标为术后角膜状态。次要观察指标包括术后眼压、视力及并发症。随访期为21.8 ± 16.6个月（平均值±标准差，范围：4.0至58.5个月）。最终访视时，所有23例术前透明自体角膜和7例角膜移植中的6例保持透明。因此，在30个术前透明角膜中，只有1个失代偿。术前IOP为27.9 ± 11.8 mm Hg（范围：12 - 59 mm Hg），术后降至10.1 ± 3.9 mm Hg（范围：2 - 21 mm Hg，P = 0.0001），降低58.2% ± 19.3%（范围：5.0%-95.4%）。最终IOP>= 5，
Purpose: To summarize our clinical experience with implanting Baerveldt glaucoma tube shunts through the ciliary sulcus in eyes with a posterior chamber intraocular lens and shallow anterior chambers, corneal transplants, guttata or edema.Patients and Methods: A retrospective interventional nonrandomized noncomparative case series. Main outcome measure was postoperative corneal status. Secondary outcome measures included postoperative intraocular pressure (IOP), visual acuity and complications.Results: Thirty-six eyes of 32 patients were identified through chart review. Follow-up period was 21.8 +/- 16.6 months (mean +/- standard deviation, range: 4.0 to 58.5 mo). At final visit, all 23 preoperative clear native corneas and 6 of 7 corneal transplants remained clear. Thus, of the 30 preoperative clear corneas, only 1 decompensated. Preoperative IOP was 27.9 +/- 11.8 mm Hg (range: 12 to 59 mm Hg), reduced postoperatively to 10.1 +/- 3.9 mm Hg (range: 2 to 21 mm Hg, P = 0.0001), a reduction of 58.2% +/- 19.3% (range: 5.0% to 95.4%). Final IOP was >= 5 and