前房内注入空气和纤维蛋白胶治疗青光眼术后晚期滤过泡渗漏
Intracameral Air and Fibrin Glue for the Management of Late Bleb Leak following Glaucoma Surgery.
作者信息
Hayat Mohammed R, Mollah Fatema S, Kishore Kamal
机构信息
University of Illinois College of Medicine, Peoria Campus, Peoria, Illinois, USA.
Illinois Retina and Eye Associates, Peoria, Illinois, USA.
出版信息
Case Rep Ophthalmol. 2019 Jan 24;10(1):47-52. doi: 10.1159/000496383. eCollection 2019 Jan-Apr.
BACKGROUND AND OBJECTIVES
To report a case of delayed-onset bleb-associated endophthalmitis (BAE) with bleb leak successfully managed with pars plana vitrectomy, intravitreal antibiotics, intracameral air, and fibrin glue.
PATIENT AND METHODS
A 66-year-old pseudophakic female presented with BAE and bleb leak. A 25-gauge pars plana vitrectomy, cultures, and intravitreal antibiotics and steroid injections were performed. The infusion was switched to air filling the anterior chamber and bleb with air. Fibrin glue (Tisseel®) was applied over the leaking bleb.
RESULTS
BAE and bleb leak resolved with return of visual acuity to 20/25 and a functioning bleb with no recurrence of bleb leak after 1 year of follow-up.
CONCLUSION
The combination of intracameral air and fibrin glue may have a role in the management of bleb leaks.
背景与目的
报告1例迟发性滤过泡相关性眼内炎（BAE）合并滤过泡渗漏患者，经玻璃体切割术、玻璃体内注射抗生素、前房注入空气及应用纤维蛋白胶成功治疗。
患者与方法
1例66岁人工晶状体植入术后女性患者，出现BAE及滤过泡渗漏。行25G玻璃体切割术、培养，玻璃体内注射抗生素及类固醇。将灌注液换成空气填充前房及滤过泡。在渗漏的滤过泡上应用纤维蛋白胶（Tisseel®）。
结果
BAE及滤过泡渗漏得以解决，视力恢复至20/25，滤过泡功能良好，随访1年滤过泡渗漏未复发。
结论
前房注入空气联合纤维蛋白胶可能在滤过泡渗漏的治疗中发挥作用。
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