Department of Ophthalmology & Visual Sciences, Illinois Eye and Ear Infirmary, Chicago, IL 60612, USA.
J Glaucoma. 2013 Aug;22(6):e11-3. doi: 10.1097/IJG.0b013e318255d9ee.
This is a case report of a 54-year-old woman with chronic uveitis who developed epithelial downgrowth after an Ahmed valve implantation. The epithelial downgrowth presented in an unusual fashion, as a peritubular fibrovascular membrane. Our case suggests that in patients who have undergone glaucoma drainage implantation with clinical features such as persistent hypotony and atypical inflammatory cells, high clinical suspicion for epithelial downgrowth and careful search for potential fistulas are necessary, even without an obvious wound leak.
这是一例 54 岁女性慢性葡萄膜炎病例报告，该患者在 Ahmed 阀植入术后发生了上皮下生长。上皮下生长呈一种不寻常的方式，即围绕着小梁的纤维血管膜。我们的病例提示，对于接受青光眼引流植入术的患者，如果存在持续性低眼压和非典型炎症细胞等临床特征，即使没有明显的伤口渗漏，也需要高度怀疑上皮下生长，并仔细寻找潜在的瘘管。
