J Glaucoma:进行上眼睑分裂手术以促进青光眼引流装置的植入!

2017-09-22 cuiguizhong MedSci原创

爱荷华州立大学眼科与视觉科学系的Provencher LM近日在J Glaucoma发表了他们最近的研究工作,他们在文章中介绍了一项用于上眼睑垂直分裂的新的治疗方案。这项技术传统上用于维持眼窝畅通,以便于对不能进行手术的患者植入青光眼引流装置。

爱荷华州立大学眼科与视觉科学系的Provencher LM近日在J Glaucoma发表了他们最近的研究工作,他们在文章中介绍了一项用于上眼睑垂直分裂的新的治疗方案。这项技术传统上用于维持眼窝畅通,以便于对不能进行手术的患者植入青光眼引流装置。


他们采用案例研究的方法,描述了一个眼外肌完全受限制的莫比斯综合征的病例,其次是一例由于慢性过敏性皮炎引起的睑缘裂缝瘢痕性狭窄的病例。两名患者都患有严重的医学上不受控制的青光眼,但是由于手术效果不理想,导致青光眼引流装置植入不完全。这两例病例都发生了上眼睑的垂直分裂,这可以满足眼球上半球充分暴露并成功植入青光眼引流装置。

因此,他们认为,各种先天性或获得性因素导致睑裂裂缝变小,或者使眼外运动受到局限。当这些患者出现晚期青光眼症状时,不良的手术可能会阻碍必要的外科手术进行治疗。使用垂直上眼睑分割技术可以进入眼球上半球,并且便于植入青光眼引流装置。这项工作为眼科临床医生和青光眼患者提供了另一种治疗方案。

原文出处:

Provencher, L.M., et al., Upper Eyelid Splitting to Facilitate the Insertion of Glaucoma Drainage Devices. J Glaucoma, 2017.

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

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