Manabe Shin-Ichi, Sawaguchi Shoichi, Hayashi Ken
*Hayashi Eye Hospital, Fukuoka †Department of Ophthalmology, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
J Glaucoma. 2016 Jul;25(7):e718-20. doi: 10.1097/IJG.0000000000000407.
To report 2 cases of secondary glaucoma combined with scleromalacia that were successfully treated with trabeculotomy ab interno.
Retrospective case report
: Trabeculotomy ab interno was used to treat secondary glaucoma combined with scleromalacia, which occurred due to refractory scleritis, in 2 cases. In case 2, goniosynechialysis was performed before the trabeculotomy to identify the trabecular meshwork. The sclera and conjunctiva were not incised in either case.
The patients' postoperative intraocular pressure (IOP) levels (which were achieved without medication) were lower than their preoperative IOP levels (which were recorded during the administration of the maximum tolerable medication dosage); that is, they had dropped from 24 to 12 mm Hg in case 1 and from 33 to 11 mm Hg in case 2 by 12 postoperative months. No recurrent scleritis or postoperative worsening of the patient's scleromalacia was seen in either case.
Trabeculotomy ab interno is a very valuable treatment for secondary glaucoma combined with scleromalacia.
报告2例经内路小梁切开术成功治疗的继发性青光眼合并巩膜软化症病例。
回顾性病例报告
采用经内路小梁切开术治疗2例因难治性巩膜炎导致的继发性青光眼合并巩膜软化症。病例2在小梁切开术前进行了房角分离术以识别小梁网。两例均未切开巩膜和结膜。
患者术后眼压（未使用药物情况下）低于术前眼压（在使用最大耐受药物剂量期间记录）；即术后12个月时，病例1眼压从24 mmHg降至12 mmHg，病例2眼压从33 mmHg降至11 mmHg。两例均未出现复发性巩膜炎或患者巩膜软化症术后加重情况。
经内路小梁切开术是治疗继发性青光眼合并巩膜软化症的一种非常有价值的方法。
