羊膜在青光眼引流术后引流管暴露处理中的新应用  

A novel use of amniotic membrane in the management of tube exposure following glaucoma tube shunt surgery

作　　者：Ainsworth G. Rotchford A. Dua H. S. King A. J. 王静波(译) 

机构地区：[1]不详 [2]Department of Ophthalmology, Eye ENT Centre, Queens Medical Centre, Derby Road, Nottingham NG7 2UH, United Kingdom

出　　处：《世界核心医学期刊文摘（眼科学分册）》2006年第9期28-29,共2页Digest of the World Core Medical Journals:Ophthalmology

摘　　要：Aim:To report a novel technique using amniotic membrane to cover exposed glaucoma tube shunts.Methods:A consecutive series of three cases that underwent drainage tube shunt surgery with the Ahmed valve for intractable glaucoma.All three patients developed exposure of the tube secondary to necrosis of the overlying bovine pericardial patch and conjunctiva.Repair of the defect was carried out with a double layer of amniotic membrane,the inner one acting as a graft and me outer as a patch.Autologous serum was used to promote epithelial growth.Results:Successful lasting closure of the conjunctival defect was achieved in all cases.Conclusion:Erosion of the drainage tube following shunt surgery is a potentially serious problem.It can be successfully managed using a double layer of amniotic membrane.Aim： To report a novel technique using amniotic membrane to cover exposed glaucoma tube shunts. Methods： A consecutive series of three cases that underwent drainage tube shunt surgery with the Ahmed valve for intractable glaucoma. All three patients developed exposure of the tube secondary to necrosis of the overlying bovine pericardial patch and conjunctiva. Repair of the defect was can＇ied out with a double layer of amniotic membrane, the inner one acting as a graft and me outer as a patch. Autologous serum was used to promote epithelial growth. Results： Successful lasting closure of the conjunctival defect was achieved in all cases. Conclusion： Erosion of the drainage tube following shunt surgery is a potentially serious problem. It can be successfully managed using a double layer of amniotic membrane

关 键 词：难治性青光眼 术后引流管 羊膜覆盖 理中 Ahmed阀 结膜缺损 分流术 结膜坏死 

分 类 号：R775[医药卫生—眼科]