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深层巩膜切除术治疗波斯纳-施洛斯曼综合征的长期疗效

Long-term efficacy of deep sclerectomy in Posner-Schlossman syndrome.

作者信息

Campana Fiamma, Caramello Guido, Dallorto Laura, Rolle Teresa

机构信息

Eye Clinic, "Santa Croce and Carle" Hospital, Cuneo, Italy.

Department of Surgical Sciences, Eye Clinic, University of Torino, Torino, Italy.

出版信息

BMJ Case Rep. 2015 Jan 23;2015:bcr2014205783. doi: 10.1136/bcr-2014-205783.

DOI:10.1136/bcr-2014-205783
PMID:25616652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4307082/
Abstract

The Posner-Schlossman syndrome (PSS) is an elusive disease that can lead to serious consequences such as glaucomatous damage. Deep sclerectomy has been proven thus far to be the most effective surgical intervention to keep intraocular pressure (IOP) elevation under control compared with other surgical techniques, because it presents the least amount of postoperative complications. The aim of this case report is to demonstrate the efficacy of deep sclerectomy with T-Flux and the long-lasting effects that persist after 7 years in an eye affected by PSS. This case report demonstrates that an intervention of deep sclerectomy can lead to excellent results in terms of visual acuity as well as IOP lowering early in the history of the patient affected by PSS so that it can preclude establishment of glaucomatous damage.

摘要

波斯纳-施洛斯曼综合征(PSS)是一种难以捉摸的疾病,可能导致诸如青光眼性损害等严重后果。迄今为止,与其他手术技术相比,深层巩膜切除术已被证明是控制眼压(IOP)升高最有效的手术干预措施,因为它术后并发症最少。本病例报告的目的是证明使用T-Flux进行深层巩膜切除术的疗效以及在受PSS影响的眼睛中7年后持续存在的长期效果。本病例报告表明,对于受PSS影响的患者,在疾病早期进行深层巩膜切除术干预在视力和降低眼压方面可取得优异效果,从而可以预防青光眼性损害的发生。

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本文引用的文献

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Non-penetrating filtration surgery versus trabeculectomy for open-angle glaucoma.非穿透性滤过手术与小梁切除术治疗开角型青光眼的比较
Cochrane Database Syst Rev. 2014 Feb 15;2014(2):CD007059. doi: 10.1002/14651858.CD007059.pub2.
2
Efficacy and safety of trabeculectomy vs nonpenetrating surgical procedures: a systematic review and meta-analysis.小梁切除术与非穿透性手术治疗的疗效和安全性:系统评价和荟萃分析。
JAMA Ophthalmol. 2013 Dec;131(12):1573-82. doi: 10.1001/jamaophthalmol.2013.5059.
3
Glaucoma and uveitis.青光眼和葡萄膜炎。
Surv Ophthalmol. 2013 Jan-Feb;58(1):1-10. doi: 10.1016/j.survophthal.2012.04.006.
4
Posner-Schlossman glaucomatocyclitic crisis.波斯纳-施洛斯曼青光眼睫状体炎危象
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Systematic overview of the efficacy of nonpenetrating glaucoma surgery in the treatment of open angle glaucoma.非穿透性青光眼手术治疗开角型青光眼疗效的系统评价。
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Deep sclerectomy with mitomycin C for glaucoma secondary to uveitis.丝裂霉素C辅助深层巩膜切除术治疗葡萄膜炎继发性青光眼
Eur J Ophthalmol. 2011 Nov-Dec;21(6):708-14. doi: 10.5301/EJO.2011.6487.
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Deep sclerectomy: safety and efficacy.深层巩膜切除术:安全性与有效性
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Fuchs heterochromic iridocyclitis--syndrome, disease, or both?富克斯异色性虹膜睫状体炎——综合征、疾病,还是两者皆是?
Am J Ophthalmol. 2009 Oct;148(4):479-81. doi: 10.1016/j.ajo.2009.06.007.
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Deep sclerectomy and trabeculectomy in uveitic glaucoma.深层巩膜切除术和小梁切除术治疗葡萄膜炎性青光眼。
Eye (Lond). 2010 Feb;24(2):310-4. doi: 10.1038/eye.2009.82. Epub 2009 Apr 17.
10
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。
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