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小梁切除术后因浅前房导致闭角型青光眼的手术重建

Surgical reconstruction for angle-closure glaucoma due to a flat anterior chamber following trabeculectomy.

作者信息

Tanihara H, Inatani M, Kobori A, Honda Y

机构信息

Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Japan.

出版信息

Ophthalmic Surg Lasers. 1997 Jun;28(6):510-2.

PMID:9189957
Abstract

In cases in which filtration surgery such as trabeculectomy is necessary, a flat anterior chamber postoperatively due to overfiltration may cause severe problems in the control of intraocular pressure. Once a broad synechia has formed between the iris and the corneal endothelium, this type of refractory, surgically induced angle closure can be difficult to manage. This article details a case of refractory angle-closure glaucoma secondary to a flat anterior chamber following trabeculectomy. Multiple surgical treatments were performed to control intraocular pressure and to reconstruct the anterior segment of the eye.

摘要

在诸如小梁切除术等滤过性手术必要的情况下,术后因滤过过度导致的浅前房可能会在眼压控制方面引发严重问题。一旦虹膜与角膜内皮之间形成广泛的虹膜粘连,这种难治性的、手术诱发的房角关闭就会难以处理。本文详细介绍了一例小梁切除术后因浅前房继发难治性闭角型青光眼的病例。为控制眼压和重建眼前节进行了多次手术治疗。

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