Eckhardt B, Hütz W
Augenklinik, Kreiskrankenhaus Bad Hersfeld.
Ophthalmologe. 1993 Dec;90(6):578-80.
Adhesion of the scleral flap is one of the postoperative complications in glaucoma surgery, especially in cases with trabeculectomy. From July 1989 to February 1990 a trabeculectomy was done in 102 patients with chronic open-angle glaucoma. To prevent adhesion of the scleral flap in the early postoperative period, a 9-0 nylon suture loop was fixed at the scleral flap and led through the conjunctiva. If in the early postoperative phase the intraocular pressure rose due to adhesion of the scleral flap, the flap was opened by pulling the suture loop and thereby releasing the scleral flap. The success of this method is indicated by the drop in intraocular pressure and the filling of the filtering bleb. In 31 of 102 patients an adhesion was observed. Twenty-four of these 31 patients recompensated after one or more pulls at the suture loop, causing the intraocular pressure to remain at a normal level.
巩膜瓣粘连是青光眼手术的术后并发症之一，尤其是在小梁切除术病例中。1989年7月至1990年2月，对102例慢性开角型青光眼患者进行了小梁切除术。为防止术后早期巩膜瓣粘连，用9-0尼龙缝线环固定在巩膜瓣上并穿过结膜。如果术后早期因巩膜瓣粘连导致眼压升高，通过拉动缝线环打开瓣膜，从而松解巩膜瓣。眼压下降和滤过泡充盈表明该方法成功。102例患者中有31例观察到粘连。这31例患者中的24例在一次或多次拉动缝线环后眼压得到代偿，使眼压维持在正常水平。
