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使用Ex-PRESS（®）微型青光眼分流装置进行滤过性手术后的角膜失代偿

Corneal decompensation following filtering surgery with the Ex-PRESS(®) mini glaucoma shunt device.

作者信息

Tojo Naoki, Hayashi Atsushi, Miyakoshi Akio

机构信息

Department of Ophthalmology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan.

出版信息

Clin Ophthalmol. 2015 Mar 17;9:499-502. doi: 10.2147/OPTH.S81050. eCollection 2015.

DOI:10.2147/OPTH.S81050
PMID:25834385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4370921/
Abstract

PURPOSE

To report a case of corneal decompensation due to the Ex-PRESS(®) mini glaucoma shunt device (Ex-PRESS).

PATIENT AND METHODS

A 75-year-old man had pseudoexfoliation glaucoma in his right eye. He underwent filtration surgery with Ex-PRESS. His intraocular pressure was 7 mmHg after 9 months.

RESULTS

We observed partial decompensation of the corneal endothelium adjacent to the filtering bleb. Specular microscopy revealed a marked decrease in the endothelial cell density at the center of the cornea.

CONCLUSION

Anterior segment optical coherence tomography is very useful for evaluating corneal edema and the position of Ex-PRESS. It is important to follow up with an examination of the corneal endothelial cells.

摘要

目的

报告一例因Ex-PRESS（®）微型青光眼分流装置（Ex-PRESS）导致角膜失代偿的病例。

患者与方法

一名75岁男性右眼患有假性剥脱性青光眼。他接受了Ex-PRESS滤过手术。9个月后其眼压为7 mmHg。

结果

我们观察到滤过泡附近的角膜内皮出现部分失代偿。镜面显微镜检查显示角膜中央的内皮细胞密度显著降低。

结论

眼前段光学相干断层扫描对于评估角膜水肿和Ex-PRESS的位置非常有用。对角膜内皮细胞进行检查以进行随访很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe1/4370921/e320e71571c2/opth-9-499Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe1/4370921/8efdcf5b08b4/opth-9-499Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe1/4370921/57f91d5e1aba/opth-9-499Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe1/4370921/e320e71571c2/opth-9-499Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe1/4370921/8efdcf5b08b4/opth-9-499Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe1/4370921/57f91d5e1aba/opth-9-499Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe1/4370921/e320e71571c2/opth-9-499Fig3.jpg

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Cornea. 2011 Jun;30(6):709-11. doi: 10.1097/ICO.0b013e3181fb8378.
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Corneal endothelial cell loss after trabeculectomy or after phacoemulsification, IOL implantation and trabeculectomy in 1 or 2 steps.青光眼滤过手术后或白内障超声乳化吸出术联合人工晶状体植入术后及两步法青光眼滤过手术 1 或 2 步手术后角膜内皮细胞丢失。
Graefes Arch Clin Exp Ophthalmol. 2010 Feb;248(2):249-56. doi: 10.1007/s00417-009-1185-4. Epub 2009 Oct 16.
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青光眼及青光眼手术中的角膜内皮细胞丢失与后弹力层内皮角膜移植术（DMEK）治疗的效用
J Ophthalmol. 2022 Jan 30;2022:1315299. doi: 10.1155/2022/1315299. eCollection 2022.
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EX-PRESS Glaucoma Filtration Device: Management of Complications.EX-PRESS青光眼滤过装置：并发症的处理
Vision (Basel). 2020 Aug 16;4(3):39. doi: 10.3390/vision4030039.
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Effects of Baerveldt Glaucoma Implant Surgery on Corneal Endothelial Cells of Patients with No History of Trabeculectomy.贝尔维尔德青光眼植入术对无小梁切除术史患者角膜内皮细胞的影响。
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