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用于坏死性巩膜炎合并继发性青光眼的 Ahmed 青光眼阀手术。

Ahmed glaucoma valve surgery for necrotizing scleritis with secondary glaucoma.

作者信息

Ranjan Abhishek, Rao Aparna

机构信息

Glaucoma Services, LV Prasad Eye Institute, Patia, Bhubaneswar, 751024, Odisha, India.

出版信息

Int Ophthalmol. 2014 Apr;34(2):327-9. doi: 10.1007/s10792-013-9782-y. Epub 2013 May 1.

DOI:10.1007/s10792-013-9782-y
PMID:23636673
Abstract

To report the challenges in management in a case of scleritis with extensive staphylomas with secondary glaucoma. A 35-year-old one eyed female, a known case of scleromalacia perforans, presented with raised intraocular pressure on maximum medical treatment. She underwent successful Ahmed glaucoma valve surgery with exposure of the implant following a repeat episode of necrotizing scleritis after 3 months. Management of eyes with scleritis and secondary glaucoma can be challenging with unexpected complications and postoperative course.

摘要

报告一例伴有广泛葡萄肿及继发性青光眼的巩膜炎患者的管理挑战。一名35岁独眼女性,已知患有穿孔性巩膜软化症,在接受最大程度药物治疗后眼压升高。3个月后,在坏死性巩膜炎再次发作后,她接受了成功的艾哈迈德青光眼引流阀手术,植入物暴露。巩膜炎合并继发性青光眼患者的眼部管理可能具有挑战性,会出现意外并发症和术后病程。

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本文引用的文献

1
Scleritis and episcleritis.巩膜炎和表层巩膜炎。
Ophthalmology. 2012 Aug;119(8):1715-1715.e1. doi: 10.1016/j.ophtha.2012.05.013.
2
Clinical characteristics of a large cohort of patients with scleritis and episcleritis.巩膜炎和表层巩膜炎大样本患者的临床特征。
Ophthalmology. 2012 Jan;119(1):43-50. doi: 10.1016/j.ophtha.2011.07.013. Epub 2011 Oct 2.
3
Management of bilateral idiopathic healed sclerokeratouveitis with ciliary and intercalary staphyloma with complicated cataract and secondary glaucoma.双侧特发性陈旧性巩膜角膜葡萄膜炎伴睫状体和中间部葡萄肿、并发性白内障及继发性青光眼的治疗
Indian J Ophthalmol. 2010 Sep-Oct;58(5):444-5. doi: 10.4103/0301-4738.67043.
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Comparative outcomes between newer and older surgeries for glaucoma.青光眼新旧手术方式的对比结果。
Trans Am Ophthalmol Soc. 2009 Dec;107:127-33.
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Surgical complications in the Tube Versus Trabeculectomy Study during the first year of follow-up.在“导管与小梁切除术研究”中随访第一年的手术并发症。
Am J Ophthalmol. 2007 Jan;143(1):23-31. doi: 10.1016/j.ajo.2006.07.022. Epub 2006 Sep 1.
6
Severity of scleritis and episcleritis.巩膜炎和表层巩膜炎的严重程度。
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