针刺后通过PreserFlo微分流装置的血液反流。

Blood Reflux Through a PreserFlo MicroShunt Device After Needling.

作者信息

Cassottana Paola, Di Mola Ilaria, Ferro Desideri Lorenzo, Vagge Aldo, Cutolo Carlo A, Traverso Carlo E, Iester Michele

机构信息

Clinica Oculistica, Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, and IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

出版信息

J Glaucoma. 2022 Dec 1;31(12):979-981. doi: 10.1097/IJG.0000000000002091. Epub 2022 Nov 4.

DOI:10.1097/IJG.0000000000002091

PMID:35939834

Abstract

INTRODUCTION

To report a case of hyphema after a bleb needling revision in a PreserFlo MicroShunt implantation.

CASE DESCRIPTION

An 87-year-old man suffering from bilateral open angle glaucoma was referred to our hospital with a diagnosis of unsatisfactory intraocular pressure (IOP) control in the right eye, despite the maximally tolerated medical therapy. The patient underwent PreserFlo MicroShunt implantation in his right eye. About 2 months after the surgical procedure, the IOP was raised because of bleb failure for subconjunctival scarring. A needling revision was performed at the slit lamp. During the procedure blood reflux through a PreserFlo MicroShunt device from a filtering bleb to the anterior chamber was observed, causing an IOP rise. Treatment with oral acetazolamide, topical steroid, and antibiotic resulted in the complete resolution of the hyphema in 2 weeks and a significant lowering in IOP.

CONCLUSIONS

This is the first reported case of blood reflux to the anterior chamber through a PreserFlo MicroShunt implant after a needling procedure.

摘要

引言

报告一例在PreserFlo微型分流器植入术后进行滤过泡针刺修复后发生前房积血的病例。

病例描述

一名87岁男性，患有双侧开角型青光眼，尽管接受了最大耐受量药物治疗，但右眼眼压控制不佳，遂转诊至我院。患者右眼接受了PreserFlo微型分流器植入术。手术约2个月后，由于结膜下瘢痕导致滤过泡失败，眼压升高。在裂隙灯下进行了针刺修复。术中观察到血液通过PreserFlo微型分流器装置从滤过泡反流至前房，导致眼压升高。口服乙酰唑胺、局部使用类固醇和抗生素治疗后，前房积血在2周内完全消退且眼压显著降低。