Perez Alejandro M, Gutkind Naomi E, Liu Ji, Grippo Tomas M
Ophthalmology, Bascom Palmer Eye Institute, Miami, USA.
Ophthalmology and Visual Science, Yale School of Medicine, New Haven, USA.
Cureus. 2025 May 7;17(5):e83670. doi: 10.7759/cureus.83670. eCollection 2025 May.
A 55-year-old patient sustained a bungee cord injury to his left eye, resulting in a traumatic cataract, vitreous prolapse into the anterior chamber, and extensive angle recession. Despite cataract surgery with pars plana vitrectomy and maximal medical therapy, intraocular pressure (IOP) remained elevated at 40 mmHg. The patient was diagnosed with mixed-mechanism traumatic glaucoma. Ab interno trabeculotomy with the Trabectome® system (MicroSurgical Technology, Redmond, WA, USA) successfully lowered IOP over 12 months, significantly reducing the medication burden. To the best of our knowledge, this is the first published textual case report describing the use of Trabectome® in this setting. In this case, ab interno trabeculotomy proved safe and effective in managing complex traumatic glaucoma.
一名55岁患者左眼遭受蹦极绳损伤，导致外伤性白内障、玻璃体脱入前房以及广泛的房角后退。尽管进行了晶状体切除联合玻璃体切除术的白内障手术以及最大程度的药物治疗，但眼压（IOP）仍高达40 mmHg。该患者被诊断为混合型外伤性青光眼。使用Trabectome®系统（美国华盛顿州雷德蒙德市显微外科技术公司）进行内路小梁切开术在12个月内成功降低了眼压，显著减轻了药物负担。据我们所知，这是首篇发表的描述在这种情况下使用Trabectome®的文字病例报告。在此病例中，内路小梁切开术在治疗复杂性外伤性青光眼中被证明是安全有效的。
