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[持续性低眼压的治疗(作者译)]

[Treatment of persistent hypotony (author's transl)].

作者信息

Wollensak J

出版信息

Klin Monbl Augenheilkd. 1976 Jun;168(6):746-50.

PMID:994379
Abstract

One patient with persistent hypotony after cyclodialysis and another one after contusion of the eyeball with recessed angle and traumatic cyclodialysis were successfully treated as follows: Blood plasma of the patient is injected in the anterior chamber and fibrinogen is transformed into fibrin by recalcification. Both patients attained normal intraocular pressure after this treatment and the signes of persistent hypotony disappeared. This seems to be an essential advantage compared with surgical interventions. Our method is very easy in practice and allows repeated treatment. A possible transformation of fibrinogen into fibrin in the vitreous cavity of an aphacic eye is resorbed very early without visible inflammatory signs. In contrast to the proposed surgical intervention in the literature, no pathological rise of the intraocular pressure for more than a few days was seen.

摘要

一名经睫状体分离术后持续性低眼压的患者以及另一名因眼球挫伤伴房角后退和外伤性睫状体分离而出现持续性低眼压的患者,通过以下方法成功治愈:将患者自身血浆注入前房,通过重新钙化使纤维蛋白原转化为纤维蛋白。经过该治疗,两名患者的眼压均恢复正常,持续性低眼压的体征消失。与手术干预相比,这似乎是一个重要优势。我们的方法在实际操作中非常简便,且可重复治疗。在无晶状体眼的玻璃体腔中,纤维蛋白原转化为纤维蛋白的情况会很早被吸收,且无明显炎症迹象。与文献中所提议的手术干预不同,未观察到眼压病理性升高超过数天的情况。

相似文献

1
[Treatment of persistent hypotony (author's transl)].[持续性低眼压的治疗(作者译)]
Klin Monbl Augenheilkd. 1976 Jun;168(6):746-50.
2
[Traumatic cyclodialysis and its treatment (author's transl)].[外伤性睫状体分离及其治疗(作者译)]
Klin Monbl Augenheilkd. 1977 Jun;170(6):917-22.
3
Surgical management of ocular hypotony.低眼压的手术治疗
Eye (Lond). 1988;2 ( Pt 1):77-9. doi: 10.1038/eye.1988.16.
4
Management of traumatic cyclodialysis cleft associated with ocular hypotony.与低眼压相关的外伤性睫状体分离的处理
Ophthalmic Surg Lasers. 1999 Jun;30(6):469-72.
5
[Treatment of post-traumatic cyclodialysis using by direct cyclopexy].[直接睫状体固定术治疗外伤性睫状体分离]
J Fr Ophtalmol. 2001 Mar;24(3):282-5.
6
[A communication on the treatment of the hypotony syndrome after trabeculotomy (author's transl)].[小梁切开术后低眼压综合征治疗的通讯(作者译)]
Klin Monbl Augenheilkd. 1975 Sep;167(3):366-71.
7
Treatment of a cyclodialysis cleft with argon laser photocoagulation in a patient with a shallow anterior chamber.氩激光光凝治疗浅前房患者的睫状体分离裂隙
Am J Ophthalmol. 1985 Jan 15;99(1):5-7. doi: 10.1016/s0002-9394(14)75857-x.
8
[Damage to the chamber angle after eyeball contusion (author's transl)].
Klin Oczna. 1981 Feb;83(2):131-2.
9
Hypotonus cyclodialysis cleft following anterior chamber intraocular lens removal.前房型人工晶状体取出术后的低眼压性睫状体分离裂隙
Ophthalmic Surg. 1994 Jun;25(6):386-7.
10
Use of sodium hyaluronate in reformation and reconstruction of the persistent flat anterior chamber in the presence of severe hypotony.透明质酸钠在严重低眼压状态下持续性扁平前房的重塑与重建中的应用。
Ophthalmic Surg. 1982 Oct;13(10):819-21.

引用本文的文献

1
Cyclodialysis: an update.睫状体分离术:最新进展
Int Ophthalmol. 2017 Apr;37(2):441-457. doi: 10.1007/s10792-016-0282-8. Epub 2016 Jul 8.
2
[Blunt ocular trauma. Part I: blunt anterior segment trauma].[钝性眼外伤。第一部分:钝性眼前段外伤]
Ophthalmologe. 2004 Dec;101(12):1239-57; quiz 1257-8. doi: 10.1007/s00347-004-1118-x.