Clinical Outcomes of Ahmed Glaucoma Valve Implantation in Refractory Pediatric Glaucoma Cases: Retrospective and Observational Study
نویسندگان
چکیده
Amaç: Bu çalışmanın amacı, dirençli pediatrik glokom olgularında Ahmed valvi (AGV) implantasyonu sonuçlarımızı sunmaktır. Gereç ve Yöntemler: retrospektif gözlemsel çalışmada, 2014-2018 tarihleri arasında Haydarpaşa Numune Eğitim Araştırma Hastanesi biriminde AGV uygulanan hastalarının dosyaları incelendi. Hastaların medikal kayıtlarından yaş, cinsiyet, tipi, eşlik eden oküler hastalık, daha önce geçirilen cerrahi konjenital anomaliler, düzeltilmiş en iyi görme keskinliği, biyomikroskobik ön segment muayenesi, göz içi basıncı (GİB) ölçümü, santral kornea kalınlığı, aksiyel uzunluk, goniyoskopi, optik disk fundus muayeneleri not edildi. Postoperatif her vizitteki GİB postoperatif komplikasyonlar kayıt Bulgular: Çalışmaya 16 hastanın 19 gözü (9 erkek, 7 kadın) dâhil Çocukların ortalama yaşı 9,82±6,08 idi. izlem süresi 4,3±1,66 yıldı. Ortalama 1. yılda 16,1±2,84 mmHg, 2. Yılda 18,5±6,18 3. 19,5±7,30 mmHg son vizitte 20,25±5,78 Preoperatif GİB'e göre düşüş istatistiksel olarak anlamlı idi (p<0,05). Kümülatif başarı oranı %95, %84 5. yılın sonunda %47 Sonuç: Dirençli tedavisinde, uzun dönemde orta derecede göstermiştir. İlk 2 yıllık izlemde yüksek iken bu oran %50'nin altına düşmektedir.
منابع مشابه
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ژورنال
عنوان ژورنال: Turkiye Klinikleri Journal of Ophthalmology
سال: 2022
ISSN: ['1300-0365']
DOI: https://doi.org/10.5336/ophthal.2021-87789