|
NR 4-6/2005
|
|
|
|
|
|
|
|
|
Wyniki wszczepienia
zastawki Ahmeda w leczeniu różnych postaci jaskry
A clinical study of the
Ahmed glaucoma valve implant in refractory glaucoma
Edward Wylęgała1, Dorota Tarnawska1,
Anita Lyssek-Boroń1, Barbara Bilińska2, Antonina Jurewicz1,
Agnieszka Petela1
1Z Oddziału Okulistyki Okręgowego Szpitala Kolejowego
w Katowicach
Ordynator: dr hab. n. med. Edward Wylęgała
2Z Katedry i Zakładu Farmacji Fizycznej ¦l±skiej
Akademii Medycznej w Sosnowcu
Kierownik: dr hab. n. farm. Anna Sułkowska |
|
|
| Summary: |
Objective: To
assess clinical outcomes of the Ahmed glaucoma valve
implant in patients with refractory glaucoma.
Participants: 15 patients (16 eyes), including 7
women and 8 men; patients with glaucoma: phakic – 10
eyes, pseudophakic – 4 eyes, and aphakic – 2 eyes,
average age: 47.2 (18-72 years old), average IOP before
the intervention: 47 mmHg (32-71 mmHg), average number
of medications taken before the intervention: 3.0.
Main Outcome Measures: Success was defined as IOP
less than or equal to 21 mmHg and no need to perform
another surgical intervention. Average period of
observation was 23.2 months (6-42 months).
Results: Intervention was successful in 12 out of 16
eyes. Average number of medicaments taken after the
intervention decreased to 1.2. 4 out of 16 patients had
a hypertensive phase. Cumulative probabilities of
success at 1 and 2 years were 88% and 72% respectively.
Complications: hyphema – 4 eyes (25%), tube exposure – 1
eye (6.25%), corneal graft failure – 4 eyes (25%),
hypertensive phase – 4 eyes (25%) anterior chamber
shallowing – 2 eyes (12.5%)
Conclusions: The Ahmed glaucoma valve implant is
an effective way of treating the patients with
refractory glaucoma. |
| Słowa kluczowe: |
jaskra oporna, zastawka
Ahmeda, wyniki implantacji. |
| Key words: |
refractory glaucoma, Ahmed
Valve, clinical onctame. |
|
|
|
|
|
|
