Guoji Yanke Zazhi (May 2016)

Clinical curative effect of Ex-press glaucoma drainage device implantation for refractory glaucoma and related complications

  • Xiao-Qin Luo,
  • Shu-Juan Cao,
  • Yun-Cheng Ma

DOI
https://doi.org/10.3980/j.issn.1672-5123.2016.5.22
Journal volume & issue
Vol. 16, no. 5
pp. 883 – 886

Abstract

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AIM:To explore the clinical efficacy of Ex - PRESS drainage device implantation for refractory glaucoma and related complications. METHODS: Fifty-three cases(56 eyes)were randomly selected in our hospital from February 2013 to August 2014 who received Ex-press glaucoma drainage device implantation for refractory glaucoma, 39 males(41 eyes)and 14 females(15 eyes), 52.63±10.58 years old; 25 cases(26 eyes)with neovascular glaucoma, 16 patients(18 eyes)with failure of glaucoma filtration surgery, 6 cases(6 eyes)with secondary glaucoma after vitrectomy, and 6 cases(6 eyes)with glaucoma secondary to complicated ocular trauma. Postoperative visual acuity, intraocular pressure(IOP), anterior chamber depth, corneal endothelial cell density and complications, etc. at 1 and 12mo were analyzed and compared with the preoperative. RESULTS: At 12mo after operation, the complete success rate was 62%(35 eyes), the partial success rate was 14%(8 eyes), and the total success rate was 77%. The effective rate was 85% in patients with neovascular glaucoma, 56% in patients with failure of glaucoma filtration surgery, 100% in patients with glaucoma secondary to complicated ocular trauma, 83% in patients with secondary glaucoma after vitrectomy. At 1mo after surgery, visual acuity improved in 28 eyes(50%), unchanged in 18 eyes(32%), decreased in 10 eyes(18%). At 12mo after surgery, visual acuity improved in 19 eyes(34%), unchanged in 18 eyes(32%), decreased in 19 eyes(34%). Preoperative IOP was 29.58±8.66 mmHg, that at 1mo after surgery was 12.75±5.66mmHg, and the difference was significant(PP2, respectively, both decreased compared to that before surgery(2113.47±80.56/mm2, PCONCLUSION: Ex-press glaucoma drainage device implantation for refractory glaucoma, although has some complications, still achieve better clinical efficacy, and is an effective method for refractory glaucoma.

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