Liegl O
Klin Monbl Augenheilkd. 1981 Jan;178(1):40-3. doi: 10.1055/s-2008-1055291.
This report concerns temporary filencleisis by means of an absorbable thread as a conjunctival covered procedure in 46 eyes, and as a scleral covered procedure in 104 eyes. The scleral covered method has the advantage of more reliable pressure regulation. In addition, during the course of the cure fewer complications (anterior chamber problems) were observed. The period of observation averaged two to three years. Regulation of pressure was achieved by the scleral covered procedure in 89% of the cases, although in 50% of the cases only in combination with subsequent local medication. Vision, postoperative corneal astigmatism and the effect of the number of threads employed in suturing the scleral flap on the healing process and on postoperative suppression of tension are discussed.
本报告涉及46只眼采用可吸收缝线进行临时房角封闭术作为结膜覆盖术,以及104只眼作为巩膜覆盖术。巩膜覆盖法具有压力调节更可靠的优点。此外,在治疗过程中观察到较少的并发症(前房问题)。观察期平均为两到三年。89%的病例通过巩膜覆盖术实现了眼压调节,尽管50%的病例仅在联合后续局部用药时才实现。文中讨论了视力、术后角膜散光以及缝合巩膜瓣所用缝线数量对愈合过程和术后眼压抑制效果的影响。