纤维蛋白胶辅助修复外露的艾哈迈德管。
Fibrin sealant-assisted revision of the exposed Ahmed tube.
作者信息
Choudhari Nikhil S, Neog Aditya, Latka Supriya, Srinivasan Bhaskar
机构信息
Department of Glaucoma, Jadhavbhai Nathamal Singhvi, Sankara Nethralaya, Chennai, Tamil Nadu, India ; V S T Glaucoma Centre, Dr. Kallam Anji Reddy Campus, L V Prasad Eye Institute, Hyderabad, India.
Department of Glaucoma, Jadhavbhai Nathamal Singhvi, Sankara Nethralaya, Chennai, Tamil Nadu, India.
出版信息
Middle East Afr J Ophthalmol. 2015 Jan-Mar;22(1):115-6. doi: 10.4103/0974-9233.148360.
Tube exposure is a known complication of Ahmed glaucoma valve (AGV) implantation. Repair of the exposed tube is not easy. A 42-year-old monocular aphakic male had undergone retinal detachment repair with placement of an episcleral-encircling band followed by implantation of AGV. He presented to the clinic on routine review with exposure of the shunt tube. The complication was managed by placing scleral and conjunctival grafts over the exposed tube using a fibrin adhesive (Tisseel kit; Baxter AG, Vienna, Austria). The novel use of the fibrin sealant in the repair of AGV tube exposure was for better graft-integration.
引流管外露是艾哈迈德青光眼阀（AGV）植入术已知的一种并发症。修复外露的引流管并非易事。一名42岁的单眼无晶状体男性患者曾接受视网膜脱离修复术，术中放置了巩膜环扎带，随后植入了AGV。他在常规复查时因分流管外露前来就诊。通过使用纤维蛋白粘合剂（Tisseel套件；奥地利维也纳百特公司）将巩膜和结膜移植物覆盖在外露的引流管上对该并发症进行了处理。纤维蛋白密封剂在AGV引流管外露修复中的新颖应用是为了实现更好的移植物整合。
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