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首页> 外文期刊>Journal of glaucoma >Transconjunctival Compression Sutures for an Overfiltering Bleb Following Subconjunctival Gel Stent Insertion for Glaucoma
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Transconjunctival Compression Sutures for an Overfiltering Bleb Following Subconjunctival Gel Stent Insertion for Glaucoma

机译：在亚末凝胶凝胶支架插入青光眼后，过滤液体的透气压压缩缝合线

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摘要

Low intraocular pressure and hypotony secondary to overfiltration is a recognized complication after trabeculectomy, particularly when augmented with antimetabolites such as 5-fluorouracil and mitomycin C. The relatively recent introduction of minimally invasive glaucoma surgery such as the ab interno XEN 45 (Allergan, Ireland) subconjunctival gel implant has heralded a new era of glaucoma drainage surgery where postoperative complications may be less and surgical recovery quicker. However, any effective glaucoma filtering procedure will always carry the risk of inducing hypotony. We describe the case of an 84-year-old white gentleman who underwent right eye XEN implantation for refractory primary open-angle glaucoma who subsequently developed persistent hypotony secondary to an overfiltering bleb. The complication was successfully treated with a modified transconjunctival bleb compression suture technique. To our knowledge, this has not been previously described in the literature and may help the glaucoma specialist deal effectively and relatively noninvasively with this rare but potentially challenging minimally invasive glaucoma surgery complication.
机译：次级的眼压和过度的低于过滤是一种公认​​的并发症，特别是当用抗体代谢物如5-氟尿嘧啶和丝裂霉素CING增强时，相对近期引入微创青光眼手术，例如AB Interno Xen 45（Allergan，爱尔兰）亚核缀凝胶植入物具有预示着新的青光眼引流手术时代，术后并发症可能更少，手术恢复更快。然而，任何有效的青光眼过滤程序将始终承载诱导低旋转的风险。我们描述了一个84岁的白绅士的案例，该案件是右眼Xen植入令人难以置灭的主要开放角度青光眼，随后开发出逆转到过滤烧伤的持久性低音。用改性的跨膜放大型压缩缝合技术成功处理了并发症。为了我们的知识，这尚未在文献中描述，并且可以帮助青光眼专业人员在这种罕见的情况下有效且相对不植物地交易，但潜在挑战微创青光眼手术并发症。

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