Song Ji Hun, Jang Seran, Cho Eun Hyung, Ahn Jaehong
Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea.
Kong Eye Hospital, Seoul, Korea.
Yonsei Med J. 2017 May;58(3):658-661. doi: 10.3349/ymj.2017.58.3.658.
When vitrectomy is performed in eyes that have undergone glaucoma surgery, the site of sclerotomy often overlaps with the previous glaucoma operation site. It can lead to serious complications such as postoperative hypotony, leakage, and/or infection. Our technique involves modification of surgeon's position and two sclerotomy sites 45° away from the original position, with an infusion cannula inserted infranasally to avoid damage to the glaucoma drainage implant or filtering bleb. The modified approach was applied to seven eyes with various indications. Vitrectomy was successfully completed, and there were no sclerotomy site complications, leakage, or hypotony in any case. Good intraocular pressure control was maintained throughout the postoperative course in all cases.
当在已接受青光眼手术的眼睛上进行玻璃体切除术时，巩膜切口部位常常与先前的青光眼手术部位重叠。这可能导致严重的并发症，如术后低眼压、渗漏和/或感染。我们的技术包括改变手术医生的位置以及将两个巩膜切口部位置于距原位置45°处，并经鼻下方插入灌注套管，以避免损伤青光眼引流植入物或滤过泡。改良方法应用于7例有各种适应证的眼睛。玻璃体切除术均成功完成，所有病例均未出现巩膜切口部位并发症、渗漏或低眼压。所有病例在术后整个过程中眼压均得到良好控制。
