Медицинская библиотека · American journal of ophthalmology · 2004

Resuturing the scleral flap through conjunctiva for treatment of excess filtration.

Shirato Shiroaki, Maruyama Katsuhiko, Haneda Mai

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Аннотация

PURPOSE: To elevate the intraocular pressure (IOP) in eyes with persistent hypotony caused by excess filtration after trabeculectomy.

DESIGN

Interventional case series.

METHODS

The scleral flap was sutured directly through the conjunctival flap using a round, tapered needle with a 10-0 nylon suture. This procedure has been performed in 10 eyes.

RESULTS

The IOP elevated from 2.6 (+/- 1.0) mm Hg to 8.8 (+/- 3.7) mm Hg in 1 week and has been maintained between 6 to 14 mm Hg during the follow-up. Hypotony maculopathy has disappeared in nine eyes. The suture was buried in the conjunctiva spontaneously in 1 week in all cases. No complications developed.

CONCLUSIONS

Suturing the scleral flap directly through the conjunctival flap is a simple and effective modality to treat the hypotony caused by excess filtration after trabeculectomy.

Для цитирования: Shirato Shiroaki, Maruyama Katsuhiko, Haneda Mai. Resuturing the scleral flap through conjunctiva for treatment of excess filtration.. American journal of ophthalmology. 2004. DOI: 10.1016/j.ajo.2003.06.001.

Предметные рубрики MeSH

Conjunctiva Humans Intraocular Pressure Nylons Ocular Hypotension Reoperation Sclera Surgical Flaps Suture Techniques Sutures Trabeculectomy

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