角膜板层移植术修复丝裂霉素C小梁切除术后的晚期并发症。

Corneal lamellar grafting to repair late complications of mitomycin C trabeculectomy.

作者信息

Fukuchi Takeo, Matsuda Hidenobu, Ueda Jun, Yamada Akiko, Suda Kieko, Abe Haruki

机构信息

Division of Ophthalmology and, Visual Science, Graduated School of, Medical and Dental Sciences, Niigata University, Niigata, Japan.

出版信息

Clin Ophthalmol. 2010 Apr 26;4:197-202. doi: 10.2147/opth.s8973.

DOI:10.2147/opth.s8973

PMID:20463784

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2861923/

Abstract

PURPOSE

To report corneal lamellar grafting to repair the late-onset complications after MMC trabeculectomy.

METHODS

Multiple case reports.

RESULTS

A 76-year-old male with primary open-angle glaucoma (POAG) and a 55-year-old male with late developmental glaucoma complicated by bleb leaks from a microhole 10 and eight years after surgery, respectively. Severe ciliochoroidal detachment and a shallow anterior chamber were persistent in one case and bleb-related infection recurred in another. Additionally, a 46-year-old male with POAG had hypotony maculopathy with a giant ischemic bleb 18 months after surgery. Although these patients were quite resistant to medical and surgical treatments, they were successfully treated by corneal lamellar grafting without complications.

CONCLUSIONS

Tectonic corneal lamellar grafting is a reliable and final surgical method to improve severe cases of hypotony maculopathy or bleb leak after mitomycin C trabeculectomy.

摘要

目的

报告角膜板层移植术修复丝裂霉素C小梁切除术后迟发性并发症。

方法

多例病例报告。

结果

一名76岁原发性开角型青光眼（POAG）男性患者和一名55岁晚期发育性青光眼男性患者，分别在术后10年和8年出现微孔性滤过泡渗漏。其中1例患者持续存在严重的睫状体脉络膜脱离和浅前房，另1例患者滤过泡相关感染复发。此外，一名46岁POAG男性患者在术后18个月出现低眼压性黄斑病变伴巨大缺血性滤过泡。尽管这些患者对药物和手术治疗反应不佳，但通过角膜板层移植术均成功治愈，且无并发症发生。