아메드 녹내장 밸브 삽입한 녹내장 환자에서 백내장 초음파 유화술 시행후 임상경과

• 영문명: Phacoemulsification in Patients with Ahmed Glaucoma Valve Implant
• 발행기관: 대한안과학회
• 저자명: 이나영 정석원 안명덕,Na Young Lee, M.D., Seok Won Jung, M.D., Myung Duk Ahn, M.D., Ph.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number11, 1506~1511쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.11.30

영문 초록

Purpose: To investigate the effects of phacoemulsification in glaucomatous eyes with a functioning Ahmed glaucoma valve insertion. Methods: This retrospective analysis followed 28 eyes from 26 patients with a functioning Ahmed glaucoma valve who had clear corneal phacoemulsification from December 1999 to February 2006. Intraocular pressure (IOP), best corrected visual acuity (BCVA), number of glaucoma medications and additional glaucoma surgeries were measured. Results: The mean IOP before phacoemulsification was 17.4 mmHg±5.8 (SD). Postoperative IOP was 13.6±4.4 mmHg, 13.7±4.0 mmHg, 14.1±4.0 mmHg and 15.4±3.8 mmHg at 1, 2, 6, and 12 months, respectively. The change in the number of glaucoma medications significantly changed at 1 month (p<0.05), but did not change at 2, 6 and 12 months (p>0.05) postoperatively. The IOP significantly changed at 1 week, 1 month, 2 months, and 6 months (p<0.05), but did not significantly change at 12 months (p>0.05) postoperatively. No eyes required additional surgery. BCVA improved in 23 eyes; the mean improvement was 3.7±2.9 Snellen lines at 2 months postoperatively. Conclusions: Phacoemulsification in glaucomatous eyes with a functioning Ahmed glaucoma valve improved BCVA and maintained control of IOP.

키워드

Ahmed glaucoma valve implant, Phacoemulsification