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艾哈迈德青光眼引流阀导管剩余部分在非穿透性青光眼手术中作为植入物的创新应用。

Innovative usage of the remaining portion of Ahmed glaucoma valve tube as an implant in nonpenetrating glaucoma surgery.

作者信息

Shokoohi-Rad Saeed, Kiarudi Mohammad Yaser, Ansari-Astaneh Mohammad-Reza

机构信息

Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Oman J Ophthalmol. 2020 Feb 17;13(1):40-42. doi: 10.4103/ojo.OJO_11_2019. eCollection 2020 Jan-Apr.

DOI:10.4103/ojo.OJO_11_2019
PMID:32174740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7050461/
Abstract

With the advent of nonpenetrating glaucoma surgeries (NPGS), these techniques are noticed more considerably by glaucoma surgeons due to lower complications in comparison to penetrating surgeries with comparable outcomes. One of the main objectives in these surgeries is the creation of an intrascleral filtering space as an alternative for subconjunctival filtering bleb. Intrascleral fibrosis in the long term reduces the volume of intrascleral bleb, so the use of implants as a space holder for preventing the collapse of scleral flaps and continued aqueous humor drainage is recommended. A lot of materials with diverse designs have been used as implants in NPGS. In this study, the remaining of Ahmed valve's tube was used as an implant in four eyes of four patients. The technique for the implant we introduced, offers significant advantages over previously reported implants. The material is biocompatible, low cost, and easily accessible in all the centers performing glaucoma surgeries.

摘要

随着非穿透性青光眼手术(NPGS)的出现,与具有相似效果的穿透性手术相比,这些技术因并发症较少而受到青光眼外科医生更多的关注。这些手术的主要目标之一是创建一个巩膜内滤过空间,作为结膜下滤过泡的替代方案。长期的巩膜内纤维化会减少巩膜内泡的体积,因此建议使用植入物作为空间支撑物,以防止巩膜瓣塌陷并持续引流房水。许多具有不同设计的材料已被用作NPGS中的植入物。在本研究中,艾哈迈德瓣膜的剩余导管被用作四名患者四只眼睛的植入物。我们介绍的植入技术比先前报道的植入物具有显著优势。该材料具有生物相容性、成本低,并且在所有进行青光眼手术的中心都很容易获得。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da3d/7050461/9f842252e047/OJO-13-40-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da3d/7050461/e5c36cc4e8a3/OJO-13-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da3d/7050461/f2c914b922ce/OJO-13-40-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da3d/7050461/9f842252e047/OJO-13-40-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da3d/7050461/e5c36cc4e8a3/OJO-13-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da3d/7050461/f2c914b922ce/OJO-13-40-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da3d/7050461/9f842252e047/OJO-13-40-g003.jpg

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Innovative usage of the remaining portion of Ahmed glaucoma valve tube as an implant in nonpenetrating glaucoma surgery.艾哈迈德青光眼引流阀导管剩余部分在非穿透性青光眼手术中作为植入物的创新应用。
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Visante anterior segment optical coherence tomography analysis of morphologic changes after deep sclerectomy with intraoperative mitomycin-C and no implant use.使用丝裂霉素 C 术中应用和不使用植入物的深层巩膜切除术对形态变化的 Visante 眼前节光学相干断层成像分析。
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本文引用的文献

1
A System Review and Meta-Analysis of Canaloplasty Outcomes in Glaucoma Treatment in Comparison with Trabeculectomy.青光眼治疗中巩膜切开术与小梁切除术疗效的系统评价和荟萃分析
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2
Anterior Segment Optical Coherence Tomography Imaging of Filtering Blebs after Deep Sclerectomy with Esnoper-Clip Implant: One-year Follow-up.使用Esnoper夹植入物进行深层巩膜切除术后滤过泡的眼前节光学相干断层扫描成像:一年随访
J Curr Glaucoma Pract. 2014 Sep-Dec;8(3):91-5. doi: 10.5005/jp-journals-10008-1169. Epub 2015 Jan 15.
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A comparison of intrascleral bleb height by anterior segment OCT using three different implants in deep sclerectomy.
三种不同巩膜切除术植入物眼前节 OCT 测量的巩膜内滤过泡高度比较。
Eye (Lond). 2012 Apr;26(4):552-6. doi: 10.1038/eye.2011.358. Epub 2012 Jan 13.
4
Comparing polymethylmethacrylate implant with collagen implant in deep sclerectomy: a randomized controlled trial.在深层巩膜切除术中比较聚甲基丙烯酸甲酯植入物与胶原蛋白植入物:一项随机对照试验。
J Glaucoma. 2006 Jun;15(3):264-70. doi: 10.1097/01.ijg.0000212211.33265.6d.
5
Non-penetrating deep sclerectomy without or with autologous scleral implant in open-angle glaucoma: medium-term results.非穿透性深层巩膜切除术联合或不联合自体巩膜植入治疗开角型青光眼:中期结果
Graefes Arch Clin Exp Ophthalmol. 2005 Dec;243(12):1206-12. doi: 10.1007/s00417-005-0020-9. Epub 2005 Jul 8.
6
Comparative study between deep sclerectomy with and without collagen implant: long term follow up.有胶原植入物与无胶原植入物的深层巩膜切除术的对比研究:长期随访
Br J Ophthalmol. 2004 Jan;88(1):95-8. doi: 10.1136/bjo.88.1.95.
7
Combined cataract surgery, intraocular lens implantation, and viscocanalostomy.
J Cataract Refract Surg. 1999 Oct;25(10):1370-5. doi: 10.1016/s0886-3350(99)00203-5.
8
Combined surgery for cataract and glaucoma: phacoemulsification and deep sclerectomy compared with phacoemulsification and trabeculectomy.白内障与青光眼联合手术:超声乳化吸除术联合深层巩膜切除术与超声乳化吸除术联合小梁切除术的比较
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