用于治疗恶性青光眼的联合手术技术
Combined Surgical Techniques for the Management of Malignant Glaucoma.
作者信息
Tang Jinfei, Du Ergang, Li Xingyu
机构信息
Department of Ophthalmology, The First Affiliated Hospital of Zhejiang Chinese Medical University, 54 Youdian Road, Hangzhou, Zhejiang 310006, China.
出版信息
J Ophthalmol. 2018 Nov 22;2018:9189585. doi: 10.1155/2018/9189585. eCollection 2018.
PURPOSE
To characterize new combined surgical techniques for the management of malignant glaucoma.
METHODS
In a retrospective, interventional case series, goniosynechialysis, peripheral iridectomy, zonulo-hyaloidectomy, and anterior vitrectomy, with or without peripheral capsulectomy, were performed on nine eyes. If the patient was phakic, we performed both phacoemulsification and intraocular lens implantation.
RESULTS
Resolution of malignant glaucoma was achieved in all cases with anterior chamber deepening. Topical antiglaucoma medications were used to control the intraocular pressure in one eye. No recurrence was observed after a median follow-up of 9 months. No complications occurred during surgery or the postoperative period.
CONCLUSIONS
The combined surgical methods can completely eliminate blockade and aqueous misdirection and represent a promising treatment for malignant glaucoma.
目的
描述用于治疗恶性青光眼的新型联合手术技术。
方法
在一项回顾性介入病例系列研究中，对9只眼进行了前房角粘连分离术、周边虹膜切除术、晶状体悬韧带-玻璃体膜切除术以及前部玻璃体切除术，部分病例联合周边囊膜切除术。如果患者有晶状体，则同时进行超声乳化白内障吸除术和人工晶状体植入术。
结果
所有病例的恶性青光眼均得到缓解，前房加深。一只眼使用局部抗青光眼药物控制眼压。中位随访9个月后未观察到复发。手术期间及术后均未发生并发症。
结论
联合手术方法可完全消除阻塞和房水错向，是治疗恶性青光眼的一种有前景的方法。
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