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眼科手术中局部解剖学的考量(作者译)

[The consideration of topographic anatomy in ophthalmic surgery (author's transl)].

作者信息

Lisch K

出版信息

Klin Monbl Augenheilkd. 1977 Oct;171(4):547-52.

PMID:592645
Abstract

The fistulizing operations can be classified with regard to their topography to the Schlemm's canal into the precanalicular Elliot's trephining, the trephining in the region of the Schlemm's canal (intercanalicular) or of its next vicinity with scleral flap (goniotrephining with scleral flap), the sclerectomy in the region of the Schlemm's canal (intercanalicular) or of its next vicinity with scleral flap (trabeculectomy). If the trephining is performed retrocanalicularly, the scleral spur and the ciliary muscle are involved. Iridodialysis and haemorrhage from the circulus arteriosus iridis major may occur in the peripheral iridorhexis, which is recommended for the iridencleisis and for the iridectomy in acute glaucoma. The proof for the decompression of the intrascleral optical canal in central vein thrombosis by the surgical procedure reported by Vasco-Posada cannot be deduced when the topographic-anatomical circumstances are taken into consideration.

摘要

造瘘手术可根据其与施莱姆管的位置关系进行分类,分为管前埃利奥特环钻术、施莱姆管区域(管间)或其紧邻区域带巩膜瓣的环钻术(带巩膜瓣的房角环钻术)、施莱姆管区域(管间)或其紧邻区域带巩膜瓣的巩膜切除术(小梁切除术)。如果在管后进行环钻术,则会涉及巩膜突和睫状肌。在周边虹膜切开术中可能会发生虹膜根部离断和来自虹膜大动脉环的出血,周边虹膜切开术推荐用于虹膜嵌顿术和急性青光眼的虹膜切除术。考虑到地形解剖情况时,无法推断出瓦斯科 - 波萨达报道的手术方法对中心静脉血栓形成时巩膜内视神经管减压的证据。

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1
[The consideration of topographic anatomy in ophthalmic surgery (author's transl)].眼科手术中局部解剖学的考量(作者译)
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2
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