Bakhsh Saaquib R, Rooney David, Goldman Bryan A, Obertynski Tom, Gupta Chirag K
Department of Ophthalmology, Beaumont Eye Institute, Royal Oak, USA.
Department of Ophthalmology, Virginia Commonwealth University, Richmond, Virginia, USA.
J Curr Glaucoma Pract. 2020 May-Aug;14(2):61-63. doi: 10.5005/jp-journals-10078-1277.
We describe two cases demonstrating a new technique to permanently reverse a problematic trabeculectomy.
Trabeculectomy-related complications are typically treated in a manner that preserves the initial surgical outcome; however, in certain cases a complete reversal of the trabeculectomy is preferable to revision.
Our technique involves seating a lamellar corneal graft into a partial thickness sclerectomy.
This method achieves permanent closure of large ostomies or areas of scleromalacia.
This technique can be used on very anterior ostomies while still providing an excellent seal, patient comfort, and cosmesis without inducing astigmatism.
Bakhsh SR, Rooney D, Goldman BA, A Case Series Demonstrating a Novel Technique for Reversal of Trabeculectomy Using Lamellar Sclerectomy and Corneal Graft. J Curr Glaucoma Pract 2020;14(2):61-63.
我们描述两例展示一种永久性逆转有问题小梁切除术的新技术的病例。
小梁切除术相关并发症通常以保留初始手术效果的方式进行治疗；然而，在某些情况下，完全逆转小梁切除术比修复更可取。
我们的技术包括将板层角膜移植片植入部分厚度的巩膜切除术。
该方法可实现大造口或巩膜软化区域的永久性闭合。
该技术可用于非常靠前的造口，同时仍能提供良好的封闭效果、患者舒适度和美观度，且不会引起散光。
巴赫什SR、鲁尼D、戈德曼BA，《一例系列病例展示使用板层巩膜切除术和角膜移植逆转小梁切除术的新技术》。《当代青光眼实践杂志》2020年；14(2):61 - 63。
