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深层巩膜切除术：安全性与有效性

Deep sclerectomy: safety and efficacy.

作者信息

Varga Zsolt, Shaarawy Tarek

机构信息

Service d'Ophtalmologie, Hôpitaux Universitaires de Genève, 22 rue Alcide Jentzer, 1211 Genève, Switzerland.

出版信息

Middle East Afr J Ophthalmol. 2009 Jul;16(3):123-6. doi: 10.4103/0974-9233.56223.

DOI:10.4103/0974-9233.56223
PMID:20142976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2813598/
Abstract

Deep Sclerectomy is a non penetrating surgical procedure for the treatment of open angle glaucoma. In this article we will describe the surgical technique, the indications for surgery and will review the scientific literature on surgical outcome following this procedure. We will also discuss the important role played by antimetabolites, implants and the use of gonipuncture to achieve the desired IOP reduction.

摘要

深层巩膜切除术是一种用于治疗开角型青光眼的非穿透性手术。在本文中，我们将描述手术技术、手术适应症，并回顾有关该手术后手术效果的科学文献。我们还将讨论抗代谢药物、植入物以及使用前房穿刺术在实现所需眼压降低方面所起的重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37a6/2813598/a335755af720/MEAJO-16-123-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37a6/2813598/ceac2bbdfa54/MEAJO-16-123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37a6/2813598/ff4cacb0a8ab/MEAJO-16-123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37a6/2813598/0b5990b45347/MEAJO-16-123-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37a6/2813598/a335755af720/MEAJO-16-123-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37a6/2813598/ceac2bbdfa54/MEAJO-16-123-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37a6/2813598/ff4cacb0a8ab/MEAJO-16-123-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37a6/2813598/0b5990b45347/MEAJO-16-123-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37a6/2813598/a335755af720/MEAJO-16-123-g004.jpg

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Deep sclerectomy: safety and efficacy.深层巩膜切除术：安全性与有效性
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2
Prospective evaluation of penetrating deep sclerectomy in advanced open-angle glaucoma: Filtration surgery adapted to resource scarcity in developing countries.穿透性深层巩膜切除术治疗晚期开角型青光眼的前瞻性评估：适用于发展中国家资源稀缺情况的滤过手术
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Nonpenetrating deep sclerectomy versus trabeculectomy in bilateral primary open-angle glaucoma.双侧原发性开角型青光眼行非穿透性深层巩膜切除术与小梁切除术的比较
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Deep sclerectomy: results with and without collagen implant.深层巩膜切除术：使用和不使用胶原植入物的结果
Int Ophthalmol. 1996;20(1-3):157-62. doi: 10.1007/BF00212963.
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[Non-penetrating deep sclerectomy in the surgical treatment of chronic open-angle glaucoma. Mid-term results].[非穿透性深层巩膜切除术治疗慢性开角型青光眼。中期结果]
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J Ophthalmol. 2024 Jul 30;2024:7127996. doi: 10.1155/2024/7127996. eCollection 2024.
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Non-penetrating deep sclerectomy versus combined trabeculotomy-trabeculectomy in primary congenital glaucoma.原发性先天性青光眼的非穿透性深层巩膜切除术与小梁切开术-小梁切除术联合手术的比较
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3

本文引用的文献

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Ten years follow-up after deep sclerectomy with collagen implant.胶原植入物深层巩膜切除术十年随访
J Glaucoma. 2008 Dec;17(8):680-6. doi: 10.1097/IJG.0b013e318182ed9e.
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Nonpenetrating glaucoma surgery.非穿透性青光眼手术
Surv Ophthalmol. 2008 Nov-Dec;53(6):592-630. doi: 10.1016/j.survophthal.2008.08.023.
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Nonpenetrating glaucoma surgery: a critical evaluation.非穿透性青光眼手术：一项批判性评估。
Swept-Source Anterior Segment Optical Coherence Tomography Imaging and Quantification of Bleb Parameters in Glaucoma Filtration Surgery.
扫频源眼前节光学相干断层扫描成像及青光眼滤过手术中滤过泡参数的量化分析
Bioengineering (Basel). 2023 Oct 13;10(10):1186. doi: 10.3390/bioengineering10101186.
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Non-penetrating deep sclerectomy with the sub flap (Ahmed's) suture: a 12-month comparative study.非穿透性深层巩膜切除术联合巩膜瓣下（Ahmed 氏）缝线：一项为期 12 个月的对比研究。
Eye (Lond). 2023 May;37(7):1308-1313. doi: 10.1038/s41433-022-02102-6. Epub 2022 May 31.
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Comparison of deep sclerokeratodissection, a new variant of nonpenetrating glaucoma surgery, with deep sclerectomy.非穿透性青光眼手术新变体——深层巩膜角膜切开术与深层巩膜切除术的比较。
Indian J Ophthalmol. 2016 Dec;64(12):914-918. doi: 10.4103/0301-4738.198863.
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Long-term efficacy of deep sclerectomy in Posner-Schlossman syndrome.深层巩膜切除术治疗波斯纳-施洛斯曼综合征的长期疗效
BMJ Case Rep. 2015 Jan 23;2015:bcr2014205783. doi: 10.1136/bcr-2014-205783.
Curr Opin Ophthalmol. 2007 Mar;18(2):152-8. doi: 10.1097/ICU.0b013e328091c1ae.
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Deep sclerectomy and low dose mitomycin C: a randomised prospective trial in west Africa.深层巩膜切除术与低剂量丝裂霉素C：西非的一项随机前瞻性试验。
Br J Ophthalmol. 2006 Mar;90(3):310-3. doi: 10.1136/bjo.2005.079483.
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Control of intraocular pressure after deep sclerectomy.
Eye (Lond). 2006 Mar;20(3):336-40. doi: 10.1038/sj.eye.6701878.
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Deep sclerectomy versus punch trabeculectomy with or without phacoemulsification: a randomized clinical trial.深层巩膜切除术与有或无超声乳化白内障吸除术的穿刺小梁切除术：一项随机临床试验
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Chin Med J (Engl). 2004 Jul;117(7):1006-10.
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Deep sclerectomy in one eye vs deep sclerectomy with collagen implant in the contralateral eye of the same patient: long-term follow-up.同一患者一只眼行深层巩膜切除术，对侧眼行深层巩膜切除术联合胶原植入物：长期随访
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