Egbert P R, Lieberman M F
Department of Ophthalmology, Stanford University School of Medicine, CA.
Ophthalmic Surg. 1989 Jan;20(1):53-6.
The Molteno glaucoma drainage implant procedure is useful for managing refractory glaucoma, but a significant concern has been the avoidance of postoperative hypotony due to temporary excessive filtration. We have developed a method of temporarily closing the translimbal tube with an internally-placed occluding suture (4-0 or 5-0 chromic). Seven to 12 days later this suture was removed, without surgery, in an outpatient setting. We have used this method on 30 patients. The advantages are that postoperative hypotony is reduced, and the Molteno drainage implant can be inserted in a single operation.
莫尔托诺青光眼引流植入手术对于治疗难治性青光眼很有用，但一个重大问题是要避免因暂时过度滤过导致的术后低眼压。我们开发了一种用内部放置的阻塞缝线（4-0或5-0铬制缝线）暂时封闭经角膜缘管的方法。7至12天后，在门诊环境中无需手术即可拆除该缝线。我们已将此方法应用于30例患者。其优点是可减少术后低眼压，并且莫尔托诺引流植入物可在一次手术中植入。
