[Ahmed's drainage in surgery of refractory posttraumatic glaucoma].
The paper presents the results of Ahmed's drainage implanted in 19 patients with different forms of posttraumatic glaucoma: 14 and 5 eyes with contusion and wound glaucoma, respectively. According to its pathogenesis, glaucoma was recessive (8 eyes), uveal (7 eyes), phakotopic (2 eyes), keratoplasty-associated (1 eye), and congenital (1 eye). Neovascular uveal glaucoma was present in 3 cases. Three eyes with uveal glaucoma showed aniridia and aphakia. On admission, the patients had an average of 2.9 +/- 1.6 operations per patient. There was an average of 5.0 +/- 1.3 instillations of antihypertensive drugs at an intraocular pressure (IOP) of 32.6 +/- 5.2 mm Hg (C = 0.07 +/- 0.038). The technique of surgery and its results are described. Complications and methods of their correction are presented. As a result, IOP normalization was achieved in all patients: on last visit it was 13.7 +/- 4.8 mm Hg. The follow-up was 6-16 months; on the day of last visit, the number of antihypertensive agents averaged 1.4 +/- 0.73.
Stepanov
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D000328:Adult; D000368:Aged; D000959:Antihypertensive Agents / Q000008:administration & dosage; D005131:Eye Injuries / Q000150:complications*; D005500:Follow-Up Studies; D005901:Glaucoma / Q000145:classification / Q000151:congenital / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery*; D020327:Glaucoma Drainage Implants; D006801:Humans; D007429:Intraocular Pressure; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome
D000959:Antihypertensive Agents