无植片Molteno管插入的疗效

• 作 者: Leong J.K. McCluskey P. Lightman S. Towler H.M.A. 韩静
• 机 构: Beamish Street Campsie,NSW 2194,Australia,
• 出 处: 世界核心医学期刊文摘.眼科学分册
• 发表日期: 2006年09期
• 关键词: 植片 Molteno 术后眼压控制 难治性青光眼 眼内压 病例记录 改良方法 术后并发症 植入物

Aims:To determine the long term outcome of Molteno implants inserted using a modified surgical technique that eliminates the need for a donor scleral graft.Methods:Retrospective case series involving a medical record analysis of 35 consecutive patients undergoing first Molteno implant surgery for refractory glaucoma.The main outcomes included life table analysis of intraocular pressure control following surgery and frequency of intraoperative and postoperative complications.Results:There were no complications related specifically to the modified method of tube placement.Medium term intraocular pressure control was similar to other series.Conclusions:This simpli-fiedmethod for the insertion of Molteno implants eliminates the need for a donor scleral graft while maintaining the implant’ s ability to control intraocular pressure.

Aims: To determine the long term outcome of Molteno implants inserted using a modified surgical technique that eliminates the need for a donor scleral graft. Methods: Retrospective case series involving a medical record analysis of 35 consecutive patients undergoing first Molteno implant surgery for refractory glaucoma. The main results included life table analysis of intraocular pressure control following surgery and frequency of intraoperative and postoperative complications. Results: There were no complications related specifically to the modified method of tube placement. Medium term intraocular pressure control was similar to other series. Conclusions: This simpli-fiedmethod for the insertion of Molteno implants eliminates the need for a donor scleral graft while maintaining the implant ’s ability to control intraocular pressure.