Heisler Morgan, Quong Whitney L, Lee Sieun, Han Sherry, Beg Mirza F, Sarunic Marinko V, Mackenzie Paul J
*School of Engineering Science, Simon Fraser University, Burnaby †Faculty of Medicine ‡Faculty of Applied Science §Department of Ophthalmology and Visual Sciences, University of British Columbia, Vancouver, BC, Canada.
J Glaucoma. 2017 May;26(5):486-490. doi: 10.1097/IJG.0000000000000656.
To demonstrate the utility of swept-source anterior segment optical coherence tomography (SS-AS-OCT) in guiding placement of transconjunctival sutures in hypotonous patients after a trabeculectomy.
This is a longitudinal case series of 10 eyes from 10 patients who required transconjunctival sutures after a trabeculectomy. SS-AS-OCT was used to aid in the placement of the sutures to improve the function of the overfiltering bleb.
SS-AS-OCT reliably identified localized areas of overfiltering, allowing for targeted suture placement in 8 eyes. The 2 eyes in which localized areas of overfiltering were not found required further surgical intervention.
SS-AS-OCT enhances transconjunctival suturing for overfiltering blebs when focal fluid accumulation is visualized.
证明扫频源眼前节光学相干断层扫描（SS-AS-OCT）在指导小梁切除术后低眼压患者经结膜缝线放置中的应用价值。
这是一个纵向病例系列，包含10例患者的10只眼，这些患者在小梁切除术后需要经结膜缝线。使用SS-AS-OCT辅助缝线放置，以改善滤过过度的泡的功能。
SS-AS-OCT可靠地识别出滤过过度的局部区域，从而能够在8只眼中进行有针对性的缝线放置。未发现滤过过度局部区域的2只眼需要进一步的手术干预。
当观察到局灶性液体积聚时，SS-AS-OCT可增强对滤过过度的泡进行经结膜缝合的效果。
