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特发性巩膜静脉压升高继发青光眼的手术治疗

Surgical management of glaucoma secondary to idiopathic elevated episcleral venous pressure.

作者信息

Pradhan Zia Sultan, Kuruvilla Ashish, Jacob Pushpa

机构信息

Department of Ophthalmology, Christian Medical College, Schell Eye Hospital, Vellore, Tamil Nadu, India.

Christian Medical College, Schell Eye Hospital, Vellore, Tamil Nadu, India.

出版信息

Oman J Ophthalmol. 2015 May-Aug;8(2):120-1. doi: 10.4103/0974-620X.159266.

DOI:10.4103/0974-620X.159266
PMID:26622142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4640038/
Abstract

Idiopathic elevated episcleral venous pressure is characterized by dilated episcleral veins and open angle glaucoma. Trabeculectomies in these eyes are often complicated by uveal effusions (intraoperative or postoperative) at nonhypotonous pressures. We highlight the ability to avoid the need for sclerostomies by preventing intraoperative shallowing of the anterior chamber and the use of tight scleral sutures which should be adjusted postsurgery to gradually reach the target intraocular pressure in a step-wise manner.

摘要

特发性巩膜静脉压升高的特征是巩膜静脉扩张和开角型青光眼。在这些眼中进行小梁切除术时，在非低眼压状态下，常常会因葡萄膜渗漏（术中或术后）而变得复杂。我们强调，通过防止术中前房变浅以及使用紧密的巩膜缝线来避免巩膜造口术的必要性，术后应调整这些缝线，以逐步达到目标眼压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ede/4640038/25a97899880d/OJO-8-120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ede/4640038/25a97899880d/OJO-8-120-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ede/4640038/25a97899880d/OJO-8-120-g001.jpg

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本文引用的文献

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Dilated episcleral veins with secondary open angle glaucoma.巩膜扩张静脉伴继发性开角型青光眼。
Indian J Ophthalmol. 2011 Mar-Apr;59(2):153-5. doi: 10.4103/0301-4738.77045.
2
Idiopathic elevated episcleral venous pressure and open-angle glaucoma.特发性巩膜上静脉压升高与开角型青光眼
Br J Ophthalmol. 2009 Feb;93(2):231-4. doi: 10.1136/bjo.2007.126557. Epub 2008 Jun 20.
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Management of glaucoma in patients with nanophthalmos.小眼球患者青光眼的管理
Indian J Ophthalmol. 2022 Sep;70(9):3316-3319. doi: 10.4103/ijo.IJO_2931_21.
4
Bilateral Episcleral Corkscrew Vessels: Expedition into the Unknown - Case Report.双侧巩膜表层螺旋状血管：探索未知——病例报告
Case Rep Ophthalmol. 2022 Feb 24;13(1):109-115. doi: 10.1159/000515971. eCollection 2022 Jan-Apr.
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Secondary open-angle glaucoma and serous macular detachment associated with pulmonary hypertension.继发性开角型青光眼及与肺动脉高压相关的浆液性黄斑脱离。
Am J Ophthalmol Case Rep. 2020 Aug 18;20:100878. doi: 10.1016/j.ajoc.2020.100878. eCollection 2020 Dec.
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Elevated episcleral venous pressure and its implications: A case of Radius-Maumenee syndrome.巩膜静脉压升高及其影响：一例Radius-Maumenee综合征病例
Indian J Ophthalmol. 2020 Aug;68(8):1683-1685. doi: 10.4103/ijo.IJO_2407_19.
7
Idiopathic elevated episcleral venous pressure in a teenager.一名青少年特发性巩膜上静脉压升高
Am J Ophthalmol Case Rep. 2020 Apr 15;18:100712. doi: 10.1016/j.ajoc.2020.100712. eCollection 2020 Jun.
8
[Glaucoma due to elevated episcleral venous pressure].[巩膜静脉压升高所致青光眼]
Ophthalmologe. 2019 May;116(5):423-429. doi: 10.1007/s00347-018-0828-4.
9
Radius-Maumenee syndrome: a rare cause of glaucoma.桡骨-马梅内综合征：青光眼的一种罕见病因。
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