Moreno-Montañés Javier, Fantes Francisco, García-Gómez Pio
Department of Ophthalmology, Clinica Universitaria de Navarra, Facultad de Medicina, Universidad de Navarra, Pamplona, Spain.
J Cataract Refract Surg. 2008 Nov;34(11):1828-31. doi: 10.1016/j.jcrs.2008.05.063.
We describe a new surgical procedure for implanting a glaucoma drainage tube in the posterior chamber. A needle with a 10-0 polypropylene suture is introduced into the posterior chamber, and a 23-gauge needle is also introduced as the barrel on the polypropylene needle tip. After the 23-gauge needle is withdrawn from the posterior chamber, the polypropylene needle tip is pulled and the suture crosses the anterior and posterior chambers. A sliding knot is made around the drainage tube. The tube is pushed into the scleral tunnel and posterior chamber as the suture is pulled to position the tube. The knot is loosened and the suture removed from the eye by pulling from either side. This procedure is easy and effective for implanting a tube in the posterior chamber in pseudophakic eyes and is indicated after penetrating keratoplasty or in eyes with compromised endothelial function.
我们描述了一种用于在后房植入青光眼引流管的新手术方法。将带有10-0聚丙烯缝线的针引入后房，同时将23号针作为聚丙烯针尖上的套管引入。23号针从后房拔出后，拉动聚丙烯针尖，缝线穿过前房和后房。在引流管周围打一个滑结。当拉动缝线以定位引流管时，将引流管推入巩膜隧道和后房。松开结，从眼睛两侧拉动缝线将其取出。该手术方法对于在人工晶状体眼中后房植入引流管简单有效，适用于穿透性角膜移植术后或内皮功能受损的眼睛。
