El Paso Eye Surgeons, El Paso, TX.
Eye Physicians and Surgeons of Arizona, Phoenix AZ.
J Glaucoma. 2018 Oct;27(10):e151-e153. doi: 10.1097/IJG.0000000000001020.
To report a case of successful intraocular pressure (IOP) reduction following Cypass supraciliary stent implantation in a postvitrectomized eye filled with silicone oil and chronic angle-closure glaucoma.
This is a case report.
A 19-year-old female with chronic angle-closure glaucoma underwent combined cataract extraction, goniosynechiolysis and Cypass supraciliary shunt implantation. Patient had a history of proliferative diabetic retinopathy and a tractional retinal detachment, which required pars plana vitretomy and silicone oil implantation, and was subsequently complicated by neovascular glaucoma requiring implantation of an inferior glaucoma drainage device. Approximately 6 months later, the patient's IOP increased to 36 mm Hg on maximum tolerable medical therapy. The patient underwent combined cataract extraction and Cypass implantation and is now controlled with an IOP of 16 mm Hg on 3 classes of medications 6 months postoperatively.
Implantation of a Cypass supraciliary shunt can be an effective means for controlling IOP in patients with chronic angle-closure glaucoma in a postvitrectomized eye with silicone oil implantation and failed glaucoma drainage device.
报告 1 例硅油填充眼继发慢性闭角型青光眼行睫状体平坦部旁路引流阀植入术后眼压成功降低的病例。
病例报告。
19 岁女性，患慢性闭角型青光眼，行白内障超声乳化吸除联合房角分离术和睫状体平坦部旁路引流阀植入术。患者既往有增殖性糖尿病视网膜病变和牵拉性视网膜脱离病史，行玻璃体切割术联合硅油填充，后并发新生血管性青光眼，需要植入下滤过引流装置。大约 6 个月后，患者最大耐受药物治疗的眼压升高至 36mmHg。患者行白内障超声乳化吸除联合睫状体平坦部旁路引流阀植入术，术后 6 个月，患者应用 3 种药物眼压控制在 16mmHg。
睫状体平坦部旁路引流阀植入术对于硅油填充眼继发慢性闭角型青光眼、失败的滤过引流装置患者是一种有效控制眼压的方法。
