Zalta A H, Wieder R H
Department of Ophthalmology, University of Cincinnati College of Medicine, Ohio.
Br J Ophthalmol. 1991 Mar;75(3):170-3. doi: 10.1136/bjo.75.3.170.
Five leaking filtering blebs, occurring between 10 months and 21 years after trabeculectomy, were closed with cyanoacrylate tissue adhesive. Filtering bleb integrity was preserved in four cases, so that additional microsurgery was avoided. The only problem associated with use of tissue adhesive was the development of corneal abrasions in three cases. Although it is an accepted treatment for these conjunctival fistulas, only nine previous cases have been reported to our knowledge. We strongly recommend the use of tissue adhesive as a presurgical treatment in the management of leaking filtering blebs which present as a late postoperative complication of glaucoma surgery.
5例小梁切除术后10个月至21年出现的渗漏滤过泡，用氰基丙烯酸酯组织粘合剂封闭。4例滤过泡完整性得以保留，从而避免了额外的显微手术。使用组织粘合剂唯一相关的问题是3例出现角膜擦伤。尽管它是这些结膜瘘的一种公认治疗方法，但据我们所知此前仅报道过9例。我们强烈推荐在处理作为青光眼手术术后晚期并发症出现的渗漏滤过泡时，使用组织粘合剂作为术前治疗方法。
