前房板层玻璃体切除术、玻璃体液-巩膜带切除术和虹膜切开术治疗房水引流异常。

Pars plana anterior vitrectomy, hyaloido-zonulectomy, and iridectomy for aqueous humor misdirection.

机构信息

Jules Stein Eye Institute, University of California Los Angeles, USA.

出版信息

Am J Ophthalmol. 2010 Jul;150(1):82-87.e1. doi: 10.1016/j.ajo.2010.02.009.

DOI:10.1016/j.ajo.2010.02.009

PMID:20609709

Abstract

PURPOSE

To report a surgical technique for aqueous misdirection refractory to medical treatment consisting of combined pars plana vitrectomy, hyaloido-zonulectomy, and peripheral iridectomy.

DESIGN

Noncomparative case series.

METHODS

The charts of 5 pseudophakic patients who sought treatment for aqueous humor misdirection refractory to medical treatment from May 2008 trough February 2009 were reviewed. All 5 patients underwent anterior vitrectomy, hyaloido-zonulectomy, and peripheral iridectomy with an anterior vitrector through a pars plana incision. Main outcome measures were preoperative and postoperative visual acuity, intraocular pressure, medications, slit-lamp examination results, and fundus findings.

RESULTS

Five female patients (age range, 23 to 89 years) had increased intraocular pressure and shallowing of the anterior chamber after cataract extraction or trabeculectomy, and none responded to conventional medical therapy. After surgery, prompt resolution of the aqueous misdirection was achieved in all cases. The follow-up was 7.6 months (range, 1 to 13 months).

CONCLUSIONS

Aqueous misdirection refractory to medical treatment can be treated successfully with surgery consisting of partial pars plana vitrectomy, hyaloido-zonulectomy, and peripheral iridectomy.

摘要

目的

报告一种治疗药物难治性房水引流异常的手术方法，该方法包括经睫状体平坦部玻璃体切除术、后玻璃体膜-晶状体悬韧带切除术和周边虹膜切除术。

设计

非对照病例系列研究。

方法

回顾了 2008 年 5 月至 2009 年 2 月期间 5 例因药物难治性房水引流异常而寻求治疗的无晶状体患者的病历。所有 5 例患者均通过睫状体平坦部切口的前玻璃体切割器行前方玻璃体切割术、后玻璃体膜-晶状体悬韧带切除术和周边虹膜切除术。主要观察指标为术前和术后视力、眼压、药物使用、裂隙灯检查结果和眼底发现。