Kanter Jacob A, Khanna Saira, Theophanous Christos, Si Zhuangjun, Qiu Mary
University of Chicago Department of Ophthalmology and Visual Science, Chicago, IL, USA.
Wilmer Eye Institute, Johns Hopkins University, Baltimore, MD, USA.
Am J Ophthalmol Case Rep. 2023 Nov 4;32:101950. doi: 10.1016/j.ajoc.2023.101950. eCollection 2023 Dec.
To describe a previously unreported method for optimizing early intraocular pressure-lowering in non-valved aqueous shunt surgery, and to report pilot results from a case series.
We report pilot results of 30 eyes that underwent Baerveldt-350 implantation with adjunctive goniotomy, in addition to 3 needle-puncture fenestrations, to enhance intraocular pressure lowering and facilitate higher steroid dosing before spontaneous ligature dissolution.
In patients with open-angle glaucoma, goniotomy is a safe and effective procedure when performed in conjunction with non-valved glaucoma tube shunt implantation.
描述一种此前未报道的用于优化非阀门式房水引流手术早期眼压降低的方法,并报告一组病例系列的初步结果。
我们报告了30只眼睛的初步结果,这些眼睛接受了Baerveldt-350植入术,并辅助进行了前房角切开术,此外还进行了3次针刺造瘘,以增强眼压降低效果,并便于在自发结扎溶解前增加类固醇剂量。
在开角型青光眼患者中,前房角切开术与非阀门式青光眼引流管植入术联合进行时是一种安全有效的手术。