Ascaso F J, Loras E, Cristobal J A
Department of Ophthalmology, University Clinic Hospital, San Juan, Bosco 15, 50009 Zaragoza, Spain.
Ophthalmic Surg Lasers. 2002 Nov-Dec;33(6):504-7.
A 38-year-old man with primary open-angle glaucoma who had undergone trabeculectomy with mitomycin-C developed macular folds consistent with hypotony maculopathy. The patient was successfully treated with a combination of Neodymium:yttrium-aluminum-garnet (Nd:YAG) laser-induced subconjunctival bleeding and injection of a viscoelastic substance into the anterior chamber. The combination of Nd:YAG laser-induced subconjunctival bleeding with intracameral viscoelastic injection appears to be a reasonable alternative to autologous blood injection and may be tried as first-line treatment for hypotony maculopathy caused by overfiltration.
一名38岁患有原发性开角型青光眼的男性,在接受丝裂霉素C小梁切除术后出现了与低眼压性黄斑病变相符的黄斑褶皱。该患者通过钕:钇铝石榴石(Nd:YAG)激光诱导结膜下出血联合向前房注射黏弹性物质的方法成功得到治疗。Nd:YAG激光诱导结膜下出血联合前房内黏弹性注射似乎是自体血注射的合理替代方法,可作为因滤过过度导致的低眼压性黄斑病变的一线治疗方法尝试使用。