丝裂霉素C小梁切除术后的包裹性滤过泡
Encapsulated filtering blebs after trabeculectomy with mitomycin-C.
作者信息
Azuara-Blanco A, Bond J B, Wilson R P, Moster M R, Schmidt C M
机构信息
Glaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA, USA.
出版信息
Ophthalmic Surg Lasers. 1997 Oct;28(10):805-9.
BACKGROUND AND OBJECTIVE
To determine the frequency of encapsulated blebs after guarded filtration procedures with mitomycin-C.
PATIENTS AND METHODS
The authors reviewed the charts of all patients who had undergone a guarded filtration procedure with mitomycin-C. There were 235 patients (283 cases) who had more than 1 month of follow-up.
RESULTS
An encapsulated bleb developed in 7 eyes (2.47%) of 6 patients. Identification of bleb encapsulation occurred at a mean follow-up time of 29.7 +/- 14.6 days after surgery. The mean intraocular pressure at that point was 24.2 +/- 13.5 mm Hg in the affected eyes. Three eyes were treated medically, and needling was performed in 4 eyes.
CONCLUSION
There is a low frequency of encapsulated bleb formation after guarded filtration procedures with adjunctive mitomycin-C.
背景与目的
确定使用丝裂霉素C的保护性滤过手术后包裹性水泡的发生率。
患者与方法
作者回顾了所有接受过使用丝裂霉素C的保护性滤过手术患者的病历。有235例患者（283只眼）随访时间超过1个月。
结果
6例患者的7只眼（2.47%）出现了包裹性水泡。包裹性水泡的识别发生在术后平均随访时间29.7±14.6天。此时患眼的平均眼压为24.2±13.5 mmHg。3只眼接受了药物治疗，4只眼进行了针刺治疗。
结论
使用辅助性丝裂霉素C的保护性滤过手术后包裹性水泡形成的发生率较低。
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