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首页> 外文期刊>Journal of glaucoma >Excisional bleb revision to correct overfiltration or leakage (see comments)
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Excisional bleb revision to correct overfiltration or leakage (see comments)

机译：切除博格尔修订版以纠正过滤或泄漏（参见评论）

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OBJECTIVES: To evaluate the effectiveness of excisional revision of filtering blebs for hypotony or leakage when more conservative measures have failed. PATIENTS AND METHODS: Retrospective review of all patients who underwent excisional revision of a filtering bleb for hypotony (intraocular pressure [IOP] < 5 mm Hg) or leakage during a 3 year period. The revision consisted of excision of the avascular bleb, mobilization of the surrounding conjunctiva, and suturing of the conjunctiva at the limbus. RESULTS: Sixteen patients were included in the study. The average age was 66.3 +/- 14.8 years (range, 39-83). Revision followed trabeculectomy in 11 cases, combined phacoemulsification-trabeculectomy in three cases, and inadvertent blebs in two cases. Five cases had bleb leaks without hypotony, four cases had hypotony alone, and seven cases had both hypotony and a bleb leak. Average follow-up after bleb revision was 25 +/- 11 months (range, 9-43). Average IOP increased from 3.8 +/- 5.6 mm Hg (range, 0-22) to 11.9 +/- 4.1 mm Hg (range, 3-18), with an average of 1.1 +/- 1.1 medication (range, 0-3). The IOP at the last visit was < 15 mm Hg in all but two patients, with 10 of the 16 patients requiring medications. At the last follow-up examination, visual acuity had improved > or = two lines in nine patients and was reduced two lines in one patient. Five patients had early postoperative limbal wound leaks; resuturing was required in one case. CONCLUSIONS: Excisional bleb revision is an effective technique to correct hypotony or leakage after filtering surgery when other methods have failed. Intraocular pressure control is often maintained with the use of medications.
机译：目标：在更保守的措施失败时，评估滤波滤波的滤波损耗的效果的有效性。患者及方法：回顾性审查所有接受滤波滤波的患者的所有患者（在3年期间的眼内压力[IOP] <5 mm Hg）或泄漏。修改包括切除血管烧伤，围绕结膜的动员，以及在林维斯的结膜缝合。结果：16名患者纳入研究。平均年龄为66.3 +/- 14.8岁（范围，39-83）。修订后的三轴切除术，三种情况下合并沉淀乳化乳化切除术，在两种情况下无意中爆发。五个案例有没有低声的泄漏泄漏，四个案例单独达到低震动，七个案例都有低声和漏洞。 BLEB修订后的平均随访时间为25 +/- 11个月（范围，9-43）。平均IOP从3.8 +/- 5.6 mm Hg（范围0-22）增加到11.9 +/- 4.1 mm Hg（范围，3-18），平均为1.1 +/- 1.1药物（范围，0-3 ）。除了两名患者中，最后一次访问的IOP是<15 mm Hg，16名患者中有10名需要药物。在最后一次随访检查中，视力改善了九名患者中的两条线，并在一个患者中减少了两条线。五名患者术后早期的斜腹伤口泄漏;在一个案例中需要抚摸。结论：当其他方法失败时，纠正博格尔修订是一种纠正过滤后矫正渗透或泄漏的有效技术。使用药物的使用者通常保持眼压控制。

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