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首页> 外文期刊>Journal of glaucoma >Supraciliary Implant Placement and Postoperative Suprachoroidal Hemorrhage After Nonpenetrating Deep Sclerectomy
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Supraciliary Implant Placement and Postoperative Suprachoroidal Hemorrhage After Nonpenetrating Deep Sclerectomy

机译：在非培养深扼杀术后，静施用植入物放置和术后Suprachoroidal出血

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Purpose:The purpose if this study was to evaluate the clinical characteristics and risk factors of 3 eyes (3 patients), with primary open-angle glaucoma (POAG), in whom a postoperative suprachoroidal hemorrhage (SCH) occurred after a previous nonpenetrating deep sclerectomy (NPDS) augmented with a supraciliary nonabsorbable implant placement.Methods and Surgical Technique:This is a report of 3 eyes of the 3 patients who underwent NPDS in 3 different centers, by 3 experienced surgeons, and were the only ones to develop postoperative SCH in the last 18 years. All were operated with a one-third thickness outer scleral flap measuring 5x5mm(2) dissected until it reached 1 to 2mm into the clear cornea. Mitomycin C (MMC, 0.02%) was applied for 1 minute and an inner scleral flap measuring 4x4mm(2) was dissected leaving only 10% of scleral thickness below. Then, the inner wall of Schlemm canal was removed. A supraciliary implant, T-flux (Carl Zeiss Meditec, Zeiss, Spain) in case 2 and Esnoper (AJL Ophthalmics SA, Minano, Spain) in cases 1 and 3, was placed through a full-thickness escleral incission 2mm behind the scleral spur.Results:Three eyes with uncontrolled primary open-angle glaucoma had a delayed SCH after an uneventful NPDS. Time lapse from filtering surgery to the SCH ranged from 12 hours in case number 1, to 3 weeks in case 3. Several risk factors for DSH were present, but the only common clinical feature for all of them, was the nonabsorbable implant that was placed in the supraciliary space. A Hema implant (Esnoper) was used in 2 eyes (cases 1 and 3), and T-flux, was implanted in the case 2. Case 1 required vitreoretinal surgery and had poor visual outcome, but cases 2 and 3 recovered with conservative treatment.Conclusions:Although taking the potential bias arising from the nature of the current cases report into consideration, supraciliary placement of the implant in NPDS could be a risk factor for SCH. Consequently, it seems reasonable to avoid it, especially in the presence of other best recognized factors.
机译：目的：目的是，如果本研究是评估3只眼（3名患者）的临床特征和危险因素，则用初级开口角度荧光眼（POAG），在术后术后术后出血（SCH）发生在前一个非培养的深氧化术后（NPDS）用升级的非可吸收植入物展示来增强。方法和手术技术：这是3名患者3只患者在3个不同中心的3名患者的报告，由3名经验丰富的外科医生，是唯一一个开发术后SCH的患者过去18年。所有的用三分之一的厚度外巩膜瓣操作，5×5mm（2）分开，直至其达到1至2mm进入透明角膜。施用丝裂霉素C（MMC，0.02％）1分钟，并分离出4×4mm（2）的内巩膜翼片，仅留下下面的10％的巩膜厚度。然后，除去施力管道的内壁。在2例和3中的情况下，在病例1和3中eSnoper（Ajl眼科Sa，Minano，Spain）中的静血液植入物，T-Flux（Carl Zeiss Meditec，Zeiss，Spain）通过巩膜刺激后2mm的全厚屠杀疫苗浸入2mm 。方法：在一个不受控制的初级开角青光眼具有不受控制的主要开放角度的三个眼睛，在一个平坦的NPD之后有一个延迟的SCH。在案例1的情况下，从过滤到SCH的时间流逝从12小时到3周，以便3周。存在DSH的几个风险因素，但所有这些临床特征都是如此在升级空间。血液植入物（eSnoper）用于2只眼（壳体1和3），并且在壳体2中植入T-Flux。案例1所需的玻璃体术手术，视觉结果差，但案件2和3恢复了保守治疗。结论：虽然考虑到目前案件的性质产生的潜在偏见，但植入物在NPDS中的普发基局部可以是SCH的危险因素。因此，避免它似乎合理，特别是在其他最佳认可因素的存在中。

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