Tomlinson C P, Belcher C D, Smith P D, Simmons R J
New England Glaucoma Research Foundation, Boston, MA 02114.
Ann Ophthalmol. 1987 Nov;19(11):405-8, 411.
This study describes 11 patients, in whom filtering surgery was performed, who developed a leaking filtration bleb postoperatively. Average follow-up time was 3 1/2 years. In three patients, suturing of the conjunctiva was performed. In two, anterior chamber reformation and choroidal tap were required, and, in both cases, the leak sealed spontaneously without surgical repair. In two, the glaucoma shell tamponade technique was used to facilitate anterior chamber reformation. These reformed in both cases, and no subsequent shallow anterior chambers have been noted. In four cases, conservative therapy, which consisted of antibiotics, glaucoma medication with or without patching, and careful patient observation, was used to manage the leaking blebs. Complications observed were: iritis (1 case), early infection of the bleb (1), flat anterior chamber (1), and failure of the bleb to allow sufficient aqueous humor outflow (2).
本研究描述了11例行滤过手术的患者，他们术后出现滤过泡渗漏。平均随访时间为3.5年。3例患者进行了结膜缝合。2例需要前房重建和脉络膜穿刺，且在这两例中，渗漏均自行封闭，无需手术修复。2例采用青光眼外壳填塞技术促进前房重建。两例均成功重建，且未再出现浅前房。4例采用保守治疗，包括使用抗生素、使用或不使用眼罩的青光眼药物治疗以及对患者进行仔细观察，以处理渗漏的滤过泡。观察到的并发症有：虹膜炎（1例）、滤过泡早期感染（1例）、前房扁平（1例）以及滤过泡未能使房水充分流出（2例）。
