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后房角穿刺术后虹膜疝的处理:两步法

Management of post-goniopuncture iris herniation: a two-step procedure.

作者信息

Martín-Moro Julio González, Miguel Yolanda Fernández

机构信息

Department of Ophthalmology, University Hospital of Henares, Av. Marie Curie sn, 28820, Coslada, Madrid, Spain,

出版信息

Int Ophthalmol. 2014 Jun;34(3):603-6. doi: 10.1007/s10792-013-9810-y. Epub 2013 Jun 6.

DOI:10.1007/s10792-013-9810-y
PMID:23740144
Abstract

A 38-year-old male presented to the emergency room suffering acute pain in his left eye. Two months before he had been submitted to uneventful non-penetrating deep sclerectomy and one month before to YAG-laser goniopuncture. Examination showed iris herniation into the trabeculo-descemet's window. Surgical reduction was carried out through a peripheral corneal incision, and a large air bubble was injected into the anterior chamber. Four days later a wide laser peripheral iridotomy was performed. This technique can transform a non-penetrating technique into a full-trabeculectomy, without reopening the superficial flap.

摘要

一名38岁男性因左眼剧痛被送往急诊室。两个月前他接受了顺利的非穿透性深层巩膜切除术,一个月前接受了YAG激光房角穿刺术。检查发现虹膜疝入小梁-Descemet窗。通过周边角膜切口进行手术复位,并向前房注入一个大气泡。四天后进行了宽激光周边虹膜切开术。该技术可将非穿透性手术转变为全小梁切除术,而无需重新打开表层瓣。

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本文引用的文献

1
Effect of air bubble on inflammation after cataract surgery in rabbit eyes.气泡对兔眼白内障手术后炎症的影响。
Indian J Ophthalmol. 2013 Jul;61(7):343-8. doi: 10.4103/0301-4738.109528.
2
Outcomes of Descemet membrane endothelial keratoplasty in phakic eyes.非穿透性角膜内皮移植术治疗有晶状体眼的效果。
J Cataract Refract Surg. 2012 May;38(5):871-7. doi: 10.1016/j.jcrs.2011.11.038.
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Damping of intraocular pressure fluctuations.眼压波动的阻尼。
Clin Exp Ophthalmol. 2012 Dec;40(9):881-7. doi: 10.1111/j.1442-9071.2012.02784.x. Epub 2012 May 17.
4
Recurrent iris prolapse after laser goniopuncture in an open-angle glaucoma patient treated with non-penetrating trabecular surgery.在接受非穿透性小梁手术治疗的开角型青光眼患者中,激光房角穿刺术后虹膜反复脱垂。
Eye (Lond). 2011 Feb;25(2):252-3. doi: 10.1038/eye.2010.172. Epub 2010 Nov 19.
5
Effect of anterior chamber air bubble on prevention of experimental Staphylococcus epidermidis endophthalmitis.前房气泡对实验性表皮葡萄球菌眼内炎的预防作用。
Graefes Arch Clin Exp Ophthalmol. 2010 Feb;248(2):277-81. doi: 10.1007/s00417-009-1173-8. Epub 2009 Oct 12.
6
Nd:YAG laser goniopuncture after deep sclerectomy: outcomes.Nd:YAG 激光后巩膜切开术治疗深层巩膜切除术:结果。
Acta Ophthalmol. 2010 Feb;88(1):110-5. doi: 10.1111/j.1755-3768.2008.01494.x. Epub 2009 Mar 19.
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Complications of Neodymium:YAG laser goniopuncture after deep sclerectomy.深层巩膜切除术后钕:钇铝石榴石激光房角穿刺的并发症
Acta Ophthalmol Scand. 2003 Dec;81(6):573-6. doi: 10.1046/j.1600-0420.2003.0154.x.
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Iris prolapse at the surgical site: a late complication of nonpenetrating deep sclerectomy.手术部位虹膜脱出:非穿透性深层巩膜切除术的晚期并发症
Ophthalmic Surg Lasers Imaging. 2003 Mar-Apr;34(2):132-5.
9
Posttrabeculectomy anterior subcapsular cataract formation induced by anterior chamber air.小梁切除术后前房空气诱发的前囊下白内障形成
Ophthalmic Surg. 1993 May;24(5):314-9.