眼前节光学相干断层扫描在过度滤过性小梁切除术后滤过泡的靶向结膜下缝线置入中的应用
Anterior Segment Optical Coherence Tomography for Targeted Transconjunctival Suture Placement in Overfiltering Trabeculectomy Blebs.
作者信息
Heisler Morgan, Quong Whitney L, Lee Sieun, Han Sherry, Beg Mirza F, Sarunic Marinko V, Mackenzie Paul J
机构信息
*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.
出版信息
J Glaucoma. 2017 May;26(5):486-490. doi: 10.1097/IJG.0000000000000656.
PURPOSE
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.
PATIENTS AND METHODS
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.
RESULTS
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.
CONCLUSIONS
SS-AS-OCT enhances transconjunctival suturing for overfiltering blebs when focal fluid accumulation is visualized.
目的
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。
患者与方法
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。
结果
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。
结论
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。
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