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首页> 外文期刊>Journal of glaucoma >Repair of Exposed Ahmed Glaucoma Valve Tubes: Long-term Outcomes
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Repair of Exposed Ahmed Glaucoma Valve Tubes: Long-term Outcomes

机译：暴露的Ahmed青光眼阀管修复：长期结果

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Purpose:To assess the long-term outcomes of glaucoma drainage device (GDD) exposure repair with corneal lamellar patch graft covered by a buccal mucous membrane graft sutured to surrounding conjunctiva.Methods:In this retrospective longitudinal study, the charts of all patients who underwent buccal mucous membrane grafts combined with corneal lamellar patch grafts for exposed GDD tubes between the years 2006 to 2013 were reviewed. A minimum follow-up of 3 years was required for inclusion. Primary outcomes were categorized as complete success: adequate coverage throughout the study period without further intervention after 1 repair; qualified success: adequate coverage despite minor additional procedures (eg, suturing); failure: re-erosion of the GDD tube.Results:A total of 23 tube exposures were included. Average time from GDD insertion to first erosion was 54.038.9 months (range, 5 to 120). Complete success was achieved in 19 cases (82.6%), and qualified success in 1 case (4.3%). There were 3 failures (13.1%). Overall success (complete+qualified) after 1 or 2 buccal mucous membrane graft repairs was achieved in 22 of 23 cases (95.7%). Average follow-up time for the successful cases (complete+qualified) was 69.5 +/- 25.4 months (median, 72.5; range, 36 to 124). There was no difference in time to first erosion between the success (complete+qualified) and failure groups: 53.8 +/- 38.3 months (range, 5 to 120) and 62.3 +/- 51.6 months (range, 5 to 105), respectively (P=0.78).Conclusions:Buccal mucous membrane grafts in combination with a lamellar corneal patch graft is a viable surgical strategy for eroded GDDs, providing good long-term outcomes; however, later interventions may be needed.
机译：目的：评估青光眼引流装置（GDD）曝光装置的长期结果，用颊粘膜移植物缝合到周围的结膜覆盖的角膜层状蛋白移植物。在这个回顾性的纵向研究中，所有接受的患者的图表综述了颊粘膜膜移植与2006至2013年之间的暴露GDD管的角膜层状蛋白移植物联合。包含至少3年的最低随访。主要成果被分类为完全成功：在整个研究期间充分覆盖，无需在1修理后进行进一步干预;合格的成功：尽管有轻微的额外程序（例如，缝合），但足够的覆盖范围;失败：GDD Tube的重新侵蚀。结果：总共包括23个管曝光。从GDD插入到第一侵蚀的平均时间为54.038.9个月（范围，5至120）。完成成功19例（82.6％），合格成功1例（4.3％）。有3个故障（13.1％）。在23例（95.7％）中，1或2个口腔粘膜移植膜接枝修理的总体成功（完整+合格）。成功案例（完整+合格）的平均随访时间为69.5 +/- 25.4个月（中位数，72.5;范围，36到124）。在成功（完整+合格）和失败组之间的第一次侵蚀时没有差异：53.8 +/- 38.3个月（范围，5至120）和62.3 +/- 51.6个月（范围为5至105） （p = 0.78）.Conclusions：颊粘膜移植物与层状贴片移植物组合是一种可侵蚀GDD的可行手术策略，提供良好的长期结果;但是，可能需要稍后的干预措施。

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