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[Baerveldt青光眼植入术后侧管重新定位。结膜反复糜烂情况下的一种替代手术方法]

[Lateral tube repositioning following a Baerveldt glaucoma implant. An alternative surgical procedure in the case of repeated conjunctival arrosion].

作者信息

Dietlein T S, Jordan J, Krieglstein G K

机构信息

Zentrum für Augenheilkunde, Universität Köln, 50931, Köln.

出版信息

Ophthalmologe. 2007 Jun;104(6):508-10. doi: 10.1007/s00347-007-1484-2.

Abstract

Conjunctival arrosion of the silicone tube following glaucoma implant surgery is a postoperative complication that generally requires surgical revision by means of a sclera or dura patch with mobilization of adjacent conjunctiva. We present a case of repeated conjunctival arrosion following Baerveldt implant surgery, in which successful revision was achieved over the course of a year by changing the insertion site of the silicone tube into the anterior chamber without touching the plate of the glaucoma implant. However, a long enough silicone tube is absolutely essential if this strategy is to work.

摘要

青光眼植入手术后硅胶管结膜侵蚀是一种术后并发症,通常需要通过巩膜或硬脑膜补片并动员相邻结膜进行手术修复。我们报告一例Baerveldt植入术后反复结膜侵蚀的病例,通过改变硅胶管在前房的插入部位而不触及青光眼植入物的板,在一年的时间里成功完成了修复。然而,如果要采用这种策略,足够长的硅胶管是绝对必要的。

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