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丝裂霉素C相关性低眼压性黄斑病变自体血注射后严重视力丧失

Severe visual loss after autologous blood injection for mitomycin-C-associated hypotonous maculopathy.

作者信息

Lu D W, Azuara-Blanco A, Katz L J

机构信息

William and Anna Goldberg Glaucoma Service and Research Laboratories, Wills Eye Hospital, Jefferson Medical College, Philadelphia, PA 19107, USA.

出版信息

Ophthalmic Surg Lasers. 1997 Mar;28(3):244-5.

PMID:9076802
Abstract

It has been shown that mitomycin-C increases the success rate of trabeculectomy; however, a rise in the incidence of postoperative complications has also been reported. Consequently, the use of antimetabolite is usually reserved for patients who are at high risk of surgical failure or for patients with advanced glaucoma in whom low intraocular pressure is desired. This report describes a patient who suffered severe visual loss which was a direct result of hypotonous maculopathy after trabeculectomy with mitomycin-C and various other complications from the subsequent interventions.

摘要

已经表明丝裂霉素-C可提高小梁切除术的成功率;然而,也有术后并发症发生率上升的报道。因此,抗代谢药物的使用通常仅限于手术失败风险高的患者或期望获得低眼压的晚期青光眼患者。本报告描述了一名患者,其在接受丝裂霉素-C小梁切除术后因低眼压性黄斑病变以及后续干预的各种其他并发症而遭受严重视力丧失。

相似文献

1
Severe visual loss after autologous blood injection for mitomycin-C-associated hypotonous maculopathy.丝裂霉素C相关性低眼压性黄斑病变自体血注射后严重视力丧失
Ophthalmic Surg Lasers. 1997 Mar;28(3):244-5.
2
Successful surgical treatment of hypotony maculopathy following trabeculectomy with topical mitomycin C.小梁切除联合局部应用丝裂霉素C后低眼压性黄斑病变的成功手术治疗
Ophthalmic Surg. 1994 Jul;25(7):463-5.
3
Hypotony maculopathy following the use of topical mitomycin C in glaucoma filtration surgery.青光眼滤过手术中使用局部丝裂霉素C后发生的低眼压性黄斑病变。
Ophthalmic Surg. 1993 Jun;24(6):389-94.
4
Corneal blood staining following autologous blood injection for hypotony maculopathy.自体血注射治疗低眼压性黄斑病变后角膜血染
Ophthalmic Surg Lasers. 1997 Oct;28(10):866-8.
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Combination of autologous blood injection and bleb compression sutures to treat hypotony maculopathy.自体血注射联合滤过泡加压缝合治疗低眼压性黄斑病变。
J Glaucoma. 1999 Dec;8(6):384-7.
6
Treatment of hypotonous maculopathy after trabeculectomy with mitomycin C.丝裂霉素C治疗小梁切除术后低张性黄斑病变
Am J Ophthalmol. 1994 Sep 15;118(3):322-31. doi: 10.1016/s0002-9394(14)72956-3.
7
Hypotonous maculopathy after trabeculectomy with subconjunctival 5-fluorouracil.小梁切除术联合结膜下注射5-氟尿嘧啶后的低张力性黄斑病变
Am J Ophthalmol. 1993 Apr 15;115(4):546-7; author reply 547-8. doi: 10.1016/s0002-9394(14)74469-1.
8
[Hypotonous maculopathy following trabeculectomy with mitomycin C].[丝裂霉素C小梁切除术后的低张力性黄斑病变]
Nippon Ganka Gakkai Zasshi. 1995 Mar;99(3):312-7.
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[Autologous blood injections for treating hypotonies after trabeculectomy].[自体血注射治疗小梁切除术后低眼压]
Sante. 2001 Oct-Dec;11(4):273-6.
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Treatment of postfiltration bleb leak by bleb injection of autologous blood.通过向滤过泡内注射自体血治疗滤过泡渗漏。
Ophthalmic Surg. 1994 Sep-Oct;25(9):636-7.

引用本文的文献

1
Bleb revision for resolution of hypotony maculopathy following primary trabeculectomy.为解决原发性小梁切除术后低眼压性黄斑病变而进行的滤过泡修复术。
Am J Ophthalmol. 2014 Sep;158(3):597-604.e1. doi: 10.1016/j.ajo.2014.05.021. Epub 2014 May 27.
2
Efficacy and safety of transconjunctival scleral flap resuturing for hypotony after glaucoma filtering surgery.青光眼滤过术后经结膜巩膜瓣重新缝合治疗低眼压的疗效与安全性
Graefes Arch Clin Exp Ophthalmol. 2008 Dec;246(12):1751-6. doi: 10.1007/s00417-008-0924-2. Epub 2008 Aug 28.
3
Collagen type I and III synthesis by Tenon's capsule fibroblasts in culture: individual patient characteristics and response to mitomycin C, 5-fluorouracil, and ascorbic acid.
培养的眼球筋膜囊成纤维细胞中I型和III型胶原蛋白的合成:个体患者特征以及对丝裂霉素C、5-氟尿嘧啶和维生素C的反应
Trans Am Ophthalmol Soc. 1999;97:513-43.