Basgil Pasaoglu Isıl, Altan Cigdem, Bayraktar Sukru, Satana Banu, Basarır Berna
Beyoglu Eye Education and Research Hospital, Beyoglu, Istanbul, Turkey.
Case Rep Ophthalmol Med. 2012;2012:794938. doi: 10.1155/2012/794938. Epub 2012 Oct 14.
Purpose. To describe our surgical technique in the management of pseudophakic malignant glaucoma refractory to conventional treatment. Methods. Two pseudophakic eyes with malignant glaucoma underwent peripheral iridectomy, lens capsulectomy, hyaloidectomy, and anterior vitrectomy through a clear corneal incision by using a vitreous cutter. Results. Prompt resolution of malignant glaucoma was achieved in both cases and no recurrence was observed during postoperative followup of five months. Conclusions. An anterior segment surgeon can treat pseudophakic malignant glaucoma successfully by using a vitreous cutter inserted through a corneal incision and performing peripheral iridectomy, capsulo-hyaloidectomy, and anterior vitrectomy.
目的。描述我们在治疗对传统治疗无效的人工晶状体性恶性青光眼时的手术技术。方法。两只人工晶状体性恶性青光眼患者的眼睛通过透明角膜切口，使用玻璃体切割器进行周边虹膜切除术、晶状体囊切除术、玻璃体膜切除术和前部玻璃体切除术。结果。两例患者的恶性青光眼均迅速得到缓解，术后五个月的随访期间未观察到复发。结论。眼前节外科医生可以通过经角膜切口插入玻璃体切割器并进行周边虹膜切除术、晶状体囊玻璃体切除术和前部玻璃体切除术，成功治疗人工晶状体性恶性青光眼。
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