PRESERFLO® 微分流术术后结膜糜烂
Conjunctival erosion following a PRESERFLO® MicroShunt procedure.
作者信息
Fahy Eamonn T, Ho Henrietta, Dukht Ukasha, Garg Anurag, Lim Kin Sheng
机构信息
St Thomas' Hospital, Department of Ophthalmology, Westminster Bridge Road, London, United Kingdom.
出版信息
Am J Ophthalmol Case Rep. 2022 Jan 29;25:101347. doi: 10.1016/j.ajoc.2022.101347. eCollection 2022 Mar.
PURPOSE
We describe a case of conjunctival erosion following a PRESERFLO® MicroShunt procedure, and the subsequent revision surgery.
OBSERVATIONS
Conjunctival erosion was noted overlying the MicroShunt implant at postoperative week 11, 8 weeks following a bleb needling procedure for bleb encapsulation. A brisk leak was observed at the site of erosion. The patient underwent a subsequent revision procedure with repositioning of the MicroShunt implant and mitomycin C (MMC) application.
CONCLUSION AND IMPORTANCE
Conjunctival erosion may be a relatively rare but important complication following MicroShunt surgery and may arise from a variety of risk factors. Extra care should be taken during bleb needling in the context of MicroShunt, and needling should be directed posteriorly, beyond the distal tip of the MicroShunt.
目的
我们描述了一例 PRESERFLO® 微型分流术术后结膜糜烂的病例以及随后的翻修手术。
观察结果
在术后第 11 周，即针对滤过泡包裹进行滤过泡针刺术 8 周后，发现微型分流植入物上方的结膜糜烂。糜烂部位观察到明显渗漏。患者随后接受了翻修手术，重新定位微型分流植入物并应用丝裂霉素 C（MMC）。
结论与重要性
结膜糜烂可能是微型分流术后一种相对罕见但重要的并发症，可能由多种危险因素引起。在微型分流术的背景下进行滤过泡针刺时应格外小心，针刺应指向后方，超出微型分流的远端尖端。
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