PRESERFLO 微导管植入术后持续性低眼压的一种简单手术解决方案。
A simple surgical solution for the treatment of persistent postoperative hypotony after PRESERFLO MicroShunt implantation.
机构信息
Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Singleton Hospital, Swansea, UK.
出版信息
Eye (Lond). 2023 Jul;37(10):2126-2129. doi: 10.1038/s41433-022-02301-1. Epub 2022 Nov 25.
Abstract
BACKGROUND/OBJECTIVES: PRESERFLO MicroShunt implantation is a relatively new and increasingly popular treatment for recalcitrant glaucoma. Though relatively uncommon, persistent or severe postoperative hypotony may occur and its treatment presents a significant challenge.
SUBJECTS/METHODS: Interventional case series of the first 7 consecutive patients who underwent the insertion of a rip-cord suture to treat severe or persistent postoperative hypotony.
RESULTS
In 6 patients, the hypotony resolved and vision was restored. The 7 patient had suffered a severe suprachoroidal haemorrhage with a poor visual recovery and limited follow-up, so success was more difficult to assess.
CONCLUSIONS
Stenting the PRESERFLO MicroShunt with a rip-cord suture is a simple technique to correct persistent or severe postoperative hypotony.
摘要
背景/目的：PRESERFLO MicroShunt 植入术是一种治疗难治性青光眼的新兴且日益流行的治疗方法。尽管相对少见，但术后仍可能出现持续性或严重的低眼压，其治疗极具挑战性。
受试者/方法：对连续 7 例接受 Rip-cord 缝线植入术治疗严重或持续性术后低眼压的患者进行介入性病例系列研究。
结果
6 例患者的低眼压得到缓解，视力得到恢复。第 7 例患者发生严重的脉络膜上腔出血，视力恢复较差，随访时间有限，因此更难评估手术成功与否。
结论
用 Rip-cord 缝线对 PRESERFLO MicroShunt 进行支架固定是一种纠正持续性或严重术后低眼压的简单技术。
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