Panarelli Joseph F, Nayak Natasha V, Sidoti Paul A
Department of Ophthalmology, New York Eye and Ear Infirmary of Mount Sinai and the Icahn School of Medicine at Mount Sinai, New York, USA.
Curr Opin Ophthalmol. 2016 Mar;27(2):170-6. doi: 10.1097/ICU.0000000000000240.
This article describes important aspects of postoperative management after trabeculectomy and glaucoma drainage implant surgery.
Postoperative management of glaucoma drainage implant surgery includes stabilization of intraocular pressure, possible ligature release, and management of complications such as corneal edema, and tube/plate exposure. Postoperative management of trabeculectomy includes evaluation of bleb encapsulation, management of hypotony, and assessment of need for adjuvant therapy. Recent advances in surgical techniques, device/tissue availability, and imaging continue to shape the postoperative course.
Careful preoperative planning and postoperative care may decrease the likelihood of complications in tube surgery or trabeculectomy.
本文描述了小梁切除术和青光眼引流植入物手术后的重要术后管理方面。
青光眼引流植入物手术的术后管理包括眼压稳定、可能的结扎松解以及角膜水肿和引流管/引流板暴露等并发症的处理。小梁切除术的术后管理包括对滤过泡包囊的评估、低眼压的处理以及辅助治疗必要性的评估。手术技术、设备/组织可用性和成像方面的最新进展继续影响着术后病程。
仔细的术前规划和术后护理可能会降低引流管手术或小梁切除术中并发症的发生可能性。
