Sharma Sourabh, Patel Dhaval, Sharma Reetika, Dada Tanuj
Glaucoma Services, Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
J Curr Glaucoma Pract. 2012 May-Aug;6(2):94-97. doi: 10.5005/jp-journals-10008-1113. Epub 2012 Aug 16.
Bleb revision for hypotony maculopathy following trabeculectomy is an effective technique for raising intraocular pressure and limiting visual loss. The presence for scleral fistula causing over-filtration obviates the need for reinforcing materials, such as donor sclera or pericardium to cover the defect. However, if the surrounding scleral tissue is healthy, a partial thickness scleral flap can be upturned and sutured over the fistula. Moreover, a vascularized pedical conjunctival graft can also be used in cases where there is a large conjunctival defect.
Sharma S, Patel D, Sharma R, Dada T. Bleb Revision using Reversed Scleral Flap and Pedical Conjunctival graft. J Current Glau Prac 2012;6(2):94-97.
小梁切除术后针对低眼压性黄斑病变的滤过泡修复术是提高眼压和限制视力丧失的有效技术。巩膜瘘导致过度滤过的情况无需使用如供体巩膜或心包等加固材料来覆盖缺损。然而,如果周围巩膜组织健康,可将部分厚度的巩膜瓣翻转并缝合在瘘口上。此外,在存在较大结膜缺损的情况下,也可使用带血管蒂的结膜移植片。
夏尔马 S、帕特尔 D、夏尔马 R、达达 T。使用反转巩膜瓣和带蒂结膜移植片进行滤过泡修复。《当代青光眼实践杂志》2012 年;6(2):94 - 97。