Juzych M S, Parrow K A, Shin D H, Swendris R P, Ramocki J M
Kresge Eye Institute, Wayne State University School of Medicine, Detroit, Mich 48201.
Ophthalmic Surg. 1992 Nov;23(11):784-8.
Following Molteno device implantation, trabeculectomy, or needling revision of trabeculectomy, six eyes of six chronic glaucoma patients developed a flat anterior chamber without hypotony, ciliochoroidal detachment, pupillary block, or external wound leak. The ciliary block did not respond to vigorous medical and laser therapy. We performed an intracameral injection of sodium hyaluronate, which resulted in maintenance of a full anterior chamber and normal intraocular pressure in all of the six eyes. The use of intracameral viscoelastic appears to be a reasonable adjunct for management of ciliary block not responsive to vigorous medical therapy and intracameral air injection trial, before attempting more extensive surgery.
在植入莫尔滕诺装置、进行小梁切除术或小梁切除术针刺修复术后，6例慢性青光眼患者的6只眼睛出现无前房变浅、低眼压、睫状体脉络膜脱离、瞳孔阻滞或外部伤口渗漏的扁平前房。睫状环阻滞对积极的药物和激光治疗无反应。我们进行了前房内透明质酸钠注射，结果6只眼中的所有眼睛均维持了完整的前房和正常眼压。在前房内空气注射试验及尝试更广泛手术之前，前房内使用粘弹剂似乎是治疗对积极药物治疗无反应的睫状环阻滞的合理辅助方法。
