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采用自闭巩膜隧道和10~14天开放引流管的方法对16例新生血管性青光眼进行Molteno房水引流阀植入术。术后前房段引流管开口若被堵塞时,则尽早用YAG激光联合氩激光清除堵塞物。平均追踪9.3月,眼压自术前7.66±1.84Pa下降到2.82±1.71kPa。3例(3/6)成功行引流管开口堵塞物激光清除术。本方法简单、安全、有效、能避免术后早期低眼压及并发症。
16 cases of neovascular glaucoma were implanted with Molteno’s aqueous humor drainage valve by autologous scleral tunnel and open drain tube for 10 ~ 14 days. Postoperative anterior segment drainage tube opening if blocked, then as soon as possible with YAG laser argon laser to clear the blockage. The average follow-up 9.3 months, intraocular pressure decreased from 7.66 ± 1.84Pa before surgery to 2.82 ± 1.71kPa. Three cases (3/6) of the successful drainage tube plug laser removal surgery. The method is simple, safe and effective, to avoid postoperative low intraocular pressure and complications.