Ophir A
Division of Ophthalmology, Hillel-Yaffe Medical Center, Hadera, Israel.
Am J Ophthalmol. 1999 Feb;127(2):212-3. doi: 10.1016/s0002-9394(98)00347-x.
To describe a new modification of Cairns trabeculectomy.
Surgical adjustment includes a small, 3-mm, fornix-based conjunctival flap, a circumferential scleral incision at a distance of only 1 mm from the corneoscleral limbus, and a sclerocorneal tunnel without scleral radial incisions.
Among the various clinical and technical advantages of the procedure is the possibility of performing more operations through the superior limbus rather than reverting to an inferior trabeculectomy or implantation of an aqueous shunt.
The reduced surgical area and manipulations of the current procedure appear to offer advantages over the standard approach.
描述一种改良的凯恩斯小梁切除术。
手术调整包括制作一个基于穹窿的3毫米小结膜瓣、在距角膜缘仅1毫米处进行环形巩膜切口，以及一个无巩膜放射状切口的巩膜角膜隧道。
该手术在临床和技术上的各种优势包括可以通过上方角膜缘进行更多手术，而不必改做下方小梁切除术或植入房水引流装置。
与标准术式相比，当前手术减少了手术区域和操作，似乎具有优势。
