Anis Sarah, Ritch Robert, Shihadeh Wisam, Liebmann Jeffrey
Department of Ophthalmology, The New York Eye and Ear Infirmary, New York, NY 10003, USA.
Arch Ophthalmol. 2006 Jun;124(6):890-4. doi: 10.1001/archopht.124.6.890.
We describe methods and outcomes of surgical reduction of symptomatic, circumferential, filtering blebs after trabeculectomy with antifibrotic agents. The medical records of 15 eyes of 14 patients with symptomatic, circumferential blebs who underwent surgical bleb reduction for bleb dysesthesia under topical anesthesia were reviewed. Each bleb was incised segmentally and the cut edges of the conjunctiva and Tenon capsule were sutured to the underlying sclera. Outcome measures included symptomatic relief, retention of bleb function, and intraocular pressure maintenance. Fourteen eyes had successful reduction of bleb size, symptomatic relief, and cosmetically acceptable appearance. One eye continued to have dysesthesia and 1 had a transient bleb leak that resolved spontaneously. Surgical reduction of circumferential, symptomatic, filtering blebs is a safe and effective technique to reduce bleb dysesthesia and improve cosmesis without loss of bleb function.
我们描述了小梁切除术中使用抗纤维化药物后，对有症状的环形滤过泡进行手术复位的方法及结果。回顾了14例患者15只眼的病历，这些患者有症状的环形滤过泡，在表面麻醉下接受了手术性滤过泡复位以治疗滤过泡感觉异常。每个滤过泡进行分段切开，将结膜和Tenon囊的切缘缝合至下方的巩膜。结果指标包括症状缓解、滤过泡功能保留和眼压维持。14只眼成功缩小了滤过泡大小，缓解了症状，外观达到可接受的美容效果。1只眼持续存在感觉异常，1只眼有短暂的滤过泡渗漏，后自发消退。对有症状的环形滤过泡进行手术复位是一种安全有效的技术，可减少滤过泡感觉异常并改善美容效果，同时不丧失滤过泡功能。
