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使用硅导管进行青光眼手术的临床经验(作者译)

[Clinical experience in glaucoma surgery utilizing silicon catheters (author's transl)].

作者信息

Egerer I

出版信息

Klin Monbl Augenheilkd. 1979 Mar;174(3):434-41.

PMID:480816
Abstract

In 7 probands exhibiting haemorrhagic glaucoma a combined thermosclerostomy with insertion of a silicons tubing (with or without basal iridectomy) has been performed. The catheter had an inner diameter of 0,5 mm, measuring about 5 mm in length and projecting about 1,5 mm into the anterior chamber. The tubing has been anchored proximally with two nylon sutures (10--0) to the corneal wound edge going through full thickness cornea; the distal end has been anchored with two more nylon sutures to underlying sclera. Tenon's capsules and conjunctiva were closed separately. In all cases the tubing has been well tolerated and did not exhibit any sign of displacement, the intracameral opening remained patent. During an observation period of 3--16 months with or without additional antiglaucomatous medication an intraocular pressure between 14--22 mm Hg could be achieved; all patients remained asymptomatic.

摘要

对7例出血性青光眼患者进行了联合巩膜热凝造瘘术并植入硅胶管(伴或不伴周边虹膜切除术)。导管内径为0.5毫米,长度约5毫米,向前房内突出约1.5毫米。硅胶管近端用两根尼龙缝线(10-0)穿过角膜全层固定于角膜伤口边缘;远端再用两根尼龙缝线固定于下方巩膜。Tenon囊和结膜分别缝合。所有病例中硅胶管耐受性良好,未出现任何移位迹象,前房内开口保持通畅。在3至16个月的观察期内,无论是否使用其他抗青光眼药物,眼压均可维持在14至22毫米汞柱之间;所有患者均无症状。

相似文献

1
[Clinical experience in glaucoma surgery utilizing silicon catheters (author's transl)].使用硅导管进行青光眼手术的临床经验(作者译)
Klin Monbl Augenheilkd. 1979 Mar;174(3):434-41.
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[Glaucoma surgery with insertion of silicone catheters. A study based on animal experiments (author's transl)].[青光眼手术中硅胶导管的植入。一项基于动物实验的研究(作者译)]
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2
Tissue response to aqueous drainage in a functioning Molteno implant.在起作用的莫尔顿引流植入物中组织对房水引流的反应。
Br J Ophthalmol. 1988 Jan;72(1):29-35. doi: 10.1136/bjo.72.1.29.