Management of Choroidal Detachment after Ahmed Valve Implantation-3 Cases Report

處理亞曼氏青光眼瓣膜管植入後造成的脈絡膜剝離之三病例報告

陳怡豪(Yi-Hao Chen) ； 吳劍男(Jian-Nan Wu) ； 呂大文(Da-Wen Lu)

《中華民國眼科醫學會雜誌》 44卷1期 (2005/03) Pp. 41-47

https://doi.org/10.30048/ACTASOS.200503.0006

摘要

目的：報告關於亞曼氏青光眼瓣膜管植入後造成的脈絡膜剝離，在臨床上處理的經驗。
方法：對於亞曼氏青光眼瓣膜管植入後造成脈絡膜剝離病患，給予眼球內注射黏膠性物質及大量靜脈輸液（每天2500公撮）來治療的三個臨床病例。
結果：在接受此種治療後，三個病例皆在三週之內復原，並保存其視力。
結論：亞曼氏青光眼瓣膜管植入術通常用於傳統青光眼濾過手術失敗的困難性青光眼，而術後的併發症，像前房狹窄、低眼壓或脈絡膜剝離等等，也更容易在這些病患上發現，尤其是在無水晶體或替換人工水晶體的病患上更容易出現。在我們的臨床經驗上，關於亞曼氏青光眼瓣膜管植入後造成的脈絡膜剝離，可以成功的利用眼球內注射黏膠性物質及大量靜脈輸液來治療，因此此種簡單的治療可以適用於一些沒有嚴重併發症的術後脈絡膜剝離之病患身上。

並列摘要

Purpose: To report the clinical experience of managing choroidal detachment after Ahmed valve implantation.
Methods: Choroidal detachment after Ahmed valve implantation was treated with intra-cameral injection of viscoelastics and a large volume of intravenous hydration at 2500m1 per day in three cases.
Results: All of the three cases recovered from choroidal detachments within three weeks after receiving our treatment and their visions were also preserved.
Conclusion: Ahmed Valve implant is generally reserved for intractable glaucoma patients in whom conventional filtering surgery tailed. Post-operative complications such as flat chamber, hypotony and choroidal detachment are more likely to be found in complicated cases, especially in patients with aphakia or pseudophakia. From our experience, choroidal detachment after Ahmed valve implantation could be successfully treated by reforming anterior chamber with viscoelastics and a large volume of intravenous hydration. We recommend that these simple procedure are suitable in treating non-complicated postoperative choroidal detachment.

並列關鍵字

Ahmed valve ； Choroidal detachment ； Viscoelastics