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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.

DOI:10.1016/j.ajo.2004.06.073
PMID:15629317
Abstract

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.

摘要

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。

相似文献

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Epithelial downgrowth following surgery for congenital glaucoma.先天性青光眼手术后的上皮植入。
Am J Ophthalmol. 2004 Dec;138(6):1075-7. doi: 10.1016/j.ajo.2004.06.073.
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Cystic epithelial ingrowth after goniotomy for congenital glaucoma. A clinicopathologic report.
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Epithelial downgrowth after Ahmed implantation presenting as a peritubular fibrovascular membrane. Ahmed 植入术后的上皮下生长,表现为管状周围纤维血管膜。
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Development of epithelial downgrowth several decades after intraocular surgery.眼内手术后数十年上皮内生的发展。
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Glaucoma drainage implants in pediatric patients.儿童患者的青光眼引流植入物
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Epithelial downgrowth as a complication of toxic anterior segment syndrome.上皮植入性生长作为毒性眼前节综合征的一种并发症。
J Cataract Refract Surg. 2007 Nov;33(11):1976-7. doi: 10.1016/j.jcrs.2007.07.016.
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Epithelial downgrowth after descemet stripping automated endothelial keratoplasty.后弹力层剥除自动角膜内皮移植术后的上皮内生
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[Intraocular epithelial downgrowth - report on 14 cases from 1986 to 2000].[眼内上皮内生——1986年至2000年14例报告]
Klin Monbl Augenheilkd. 2004 Mar;221(3):197-203. doi: 10.1055/s-2004-812913.
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Changes in corneal endothelial cells after ahmed glaucoma valve implantation: 2-year follow-up.艾哈迈德青光眼引流阀植入术后角膜内皮细胞的变化:2年随访
Am J Ophthalmol. 2010 Apr;149(4):688-9; author reply 689. doi: 10.1016/j.ajo.2009.12.027.

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