Department of Ophthalmology, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, Japan.
Medical Mycology Unit, Graduate School of Medicine, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, Japan.
Indian J Ophthalmol. 2024 Nov 1;72(11):1659-1662. doi: 10.4103/IJO.IJO_3156_23. Epub 2024 May 20.
In this study, we validated the new technique for inserting the tube of the Ahmed glaucoma valve (AGV) into the ciliary sulcus. AGV tube insertion was performed by introducing a 4-0 nylon thread into the anterior chamber from the corneal incision on the opposite side of the AGV. The thread was placed in the lumen of a 23-G needle that was inserted into the sclera and ciliary sulcus from the AGV side. Withdrawing the 23-G needle, the thread was led out of the eye from the scleral wound, passing through the ciliary sulcus. The thread was then placed in the AGV tube lumen, and the tube was inserted through the scleral wound into the ciliary sulcus by using the thread as a guide, as per the Seldinger technique. In all seven eyes, the tube was precisely inserted into the ciliary sulcus without serious intraoperative complications such as vitreous straying of the tube.
在这项研究中，我们验证了将 Ahmed 青光眼引流阀（AGV）管插入睫状沟的新技术。通过将 4-0 尼龙线从前部角膜切口引入对侧 AGV，将 AGV 管插入。将线置于插入巩膜和睫状沟的 23-G 针的管腔中。拔出 23-G 针后，线从巩膜伤口中引出眼睛，穿过睫状沟。然后将线置于 AGV 管腔中，并通过 Seldinger 技术将管插入巩膜伤口进入睫状沟，使用线作为引导。在所有七只眼中，管都准确地插入睫状沟，没有玻璃体管迷路等严重的术中并发症。
