先天性青光眼手术后的上皮植入。
Epithelial downgrowth following surgery for congenital glaucoma.
作者信息
Giaconi Joann A, Coleman Anne L, Aldave Anthony J
机构信息
Jules Stein Eye Institute, University of California, Los Angeles, California 90095, USA.
出版信息
Am J Ophthalmol. 2004 Dec;138(6):1075-7. doi: 10.1016/j.ajo.2004.06.073.
PURPOSE
To report epithelial downgrowth following goniotomy.
DESIGN
Observational case report.
METHODS
Surgical management of a child with congenital glaucoma and epithelial downgrowth.
RESULTS
One year after nasal goniotomy and multiple Ahmed valve revisions an epithelial inclusion cyst was noted adjacent to the clear corneal goniotomy incision. Ab externo drainage and limbal cryotherapy were required twice for recurrent growth of the cyst. Six months after the second treatment the eye remains cyst-free.
CONCLUSIONS
Epithelial downgrowth is a rare complication of surgery for glaucoma, but because of its potential to threaten sight it should always be considered as a possible complication.
目的
报告前房角切开术后上皮植入性生长情况。
设计
观察性病例报告。
方法
对一名患有先天性青光眼并伴有上皮植入性生长的儿童进行手术治疗。
结果
鼻侧前房角切开术及多次艾哈迈德瓣膜修复术后一年，在透明角膜前房角切开术切口旁发现一个上皮植入性囊肿。囊肿反复生长，需两次行外路引流及角膜缘冷冻治疗。第二次治疗后六个月，患眼囊肿消失。
结论
上皮植入性生长是青光眼手术的一种罕见并发症，但因其有威胁视力的可能，故应始终将其视为一种可能的并发症。
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