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青光眼滤过术后上睑退缩:病例系列及文献综述

Lid retraction following glaucoma filtering surgery: a case series and literature review.

作者信息

Saldana Manuel, Gupta Deepak, Khandwala Mona, Beigi Bijan

机构信息

Norfolk and Norwich NHS Trust, Ophthalmology, Colney Lane, Norwich, United Kingdom.

出版信息

Orbit. 2009;28(6):363-7. doi: 10.3109/01676830903180306.

Abstract

PURPOSE

To describe 5 cases of lid retraction associated with large cystic glaucoma filtering blebs.

METHODS

Retrospective case reports and literature review.

RESULTS

All 5 patients had lid retraction due to glaucoma filtering blebs. Two were successfully managed surgically by graded blepharotomy with resolution of lid retraction and bleb dysesthesia symptoms. Three patients were managed symptomatically.

CONCLUSIONS

Lid retraction due to cystic glaucoma blebs is an unusual entity and a diagnosis of exclusion. The exact pathogenesis of the condition is unclear. Conservative, medical and surgical interventions exist to manage the lid retraction and any associated bleb dysesthesia.

摘要

目的

描述5例与大型囊性青光眼滤过泡相关的眼睑退缩病例。

方法

回顾性病例报告及文献复习。

结果

所有5例患者均因青光眼滤过泡出现眼睑退缩。2例通过分级睑裂切开术成功进行手术治疗,眼睑退缩及滤过泡感觉异常症状得以缓解。3例患者接受对症治疗。

结论

囊性青光眼滤过泡导致的眼睑退缩是一种罕见情况,需排除其他诊断。该病症的确切发病机制尚不清楚。存在保守、药物及手术干预措施来处理眼睑退缩及任何相关的滤过泡感觉异常。

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