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患者患有 Reiger 异常, Ahmed 青光眼阀管后移:病例报告。

Posterior migration of Ahmed glaucoma valve tube in a patient with Reiger anomaly: a case report.

机构信息

Eye OPD, VMMC and Safdarjung Hospital, New Delhi 110029, India.

出版信息

BMC Ophthalmol. 2010 Sep 17;10:23. doi: 10.1186/1471-2415-10-23.

Abstract

BACKGROUND

To describe, a yet non-documented complication of GDI surgery (glaucoma drainage incision surgery)--anterior to posterior segment migration of Ahmed Glaucoma Valve (AGV) tube.

CASE PRESENTATION

We report a young 9 year old boy, diagnosed with refractory glaucoma with Reiger anomaly. History included of poor vision in both eyes, left more than right with glare since childhood. He underwent GDI surgery with AGV implantation following which he developed posterior migration of AGV tube. The detailed ocular history, ophthalmic findings, clinical course, surgical management and development of the posterior tube migration is discussed.

CONCLUSION

Posterior Migration of AGV tube has yet not been described. Also there is a role of expectant management of the complication in this case as evidenced by the benign course of events.

摘要

背景

描述一种青光眼引流切口手术(GDI 手术)的尚未记录在案的并发症—— Ahmed 青光眼引流阀(AGV)管从前节到后节的迁移。

病例介绍

我们报告了一例年轻的 9 岁男孩,诊断为难治性青光眼伴 Reiger 异常。病史包括双眼视力差,左眼比右眼更差,自幼畏光。他接受了 GDI 手术联合 AGV 植入,术后出现 AGV 管向后迁移。详细的眼部病史、眼科检查、临床病程、手术处理以及后管迁移的发展情况进行了讨论。

结论

AGV 管向后迁移尚未被描述。在这种情况下,并发症的期待管理也具有一定作用,正如良性的病程所证明的那样。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d441/2949731/5d0dbb9c0f2c/1471-2415-10-23-1.jpg

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