Simmons R J, Kimbrough R L
Ophthalmic Surg. 1979 Sep;10(9):17-34.
The glaucoma shell tamponade technique in filtering surgery for glaucoma is a technique for (1) decreasing the incidence of flat anterior chamber and choroidal separation postoperatively, (2) promoting the development of a low diffuse filtration area, and (3) increasing the possibility of achieving very low resulting postoperative pressure. The glaucoma shell technique is applicable to all types of filtration procedures, including conventional filtering procedures utilizing no scleral flap and those utilizing a scleral flap, such as trabeculectomy. It can be used at surgery or can be applied in the postoperative period to deal with flat or shallow anterior chambers immediately at the time of onset. The shell tamponade technique can be utilized to aid in the management of some cases of leaking bleb in the early postoperative period or in the late postoperative period. The technique for operative and postoperative use of the glaucoma shell tamponade technique and its closely related pressure dressing is a demanding and exacting art. Because the technique increases the possibility of very low resulting tensions, its use should be considered especially for cases in which very low pressures are desired, such as some cases of extremely advanced cupping and field loss and low-tension glaucoma.
（1）降低术后无前房和脉络膜脱离发生率的技术；（2）促进低弥散滤过区形成的技术；（3）提高术后眼压极低的可能性的技术。青光眼巩膜瓣下填充技术适用于所有类型的滤过手术，包括不使用巩膜瓣的传统滤过手术以及使用巩膜瓣的手术，如小梁切除术。它可在手术时使用，也可在术后用于在无前房或浅前房出现时立即进行处理。巩膜瓣下填充技术可用于辅助处理术后早期或晚期的一些滤过泡渗漏病例。青光眼巩膜瓣下填充技术及其密切相关的加压包扎在手术和术后使用的技术是一门要求严格且精细的技艺。由于该技术增加了眼压极低的可能性，尤其对于期望眼压极低的病例，如某些极度晚期视盘凹陷和视野缺损以及低眼压性青光眼病例，应考虑使用该技术。
