AIM：To present a novel scleral flap suturing technique for filtering glaucoma surgery in order to control high postoperative intraocular pressure（IOP）.METHODS：Description of ‘the accordion suture＇ technique for ...AIM：To present a novel scleral flap suturing technique for filtering glaucoma surgery in order to control high postoperative intraocular pressure（IOP）.METHODS：Description of ‘the accordion suture＇ technique for mitomycin C augmented trabeculectomy.In cases of postoperative high IOP,pulling the loop of the suture helps to lift up the scleral flap by an even pressure on both edges.By means of this technique,the scleral flap opens up in an ‘‘accordion＇＇ manner,thus preventing flap obstruction and providing adequate aqueous flow.RESULTS：Our study group consisted of 8 eyes of 8 patients with neovascular glaucoma.Mean age of the subjects was 67.42±8.21 y and female/male ratio was 4/4.Mean preoperative IOP was 37±7.48 mm Hg.Mitomycin C augmented trabeculectomy was carried out on the subjects without any complications.The scleral flap closure is performed with three separate sutures;initially,our accordion suture through the center of the flap,and two releasable sutures on both corners.All the patients received removal of two side releasable sutures concomitant with pulling the accordion suture,without any complications.The average traction time was 3.5±0 wk postoperatively.The mean postoperative IOP was 11.37±2.72 mm Hg.No suture related complications were observed.CONCLUSION：This technique can be the suture of choice for filtering glaucoma surgery in experienced hands by its easy learning curve for precisely indicated patients.展开更多
目的评估可调整缝线在原发性闭角型青光眼(PACG)患者行小梁切除术中应用的价值。方法来自江苏省人民医院眼科住院的PACG患者50例(50只眼)。随机分为小梁切除术联合可调整缝线组(25只眼)和传统小梁切除术组(25只眼)。术后1 d、7周、1个月...目的评估可调整缝线在原发性闭角型青光眼(PACG)患者行小梁切除术中应用的价值。方法来自江苏省人民医院眼科住院的PACG患者50例(50只眼)。随机分为小梁切除术联合可调整缝线组(25只眼)和传统小梁切除术组(25只眼)。术后1 d、7周、1个月、3个月、6个月随访。行LogMAR视力表检查视力、Goldmann压平眼压计测量眼压。眼压控制成功指在末次随访时未使用降眼压药物眼压<21 mm Hg;条件成功指在末次随访时在联合使用降眼压药物情况下眼压<21 mm Hg。主要指标为眼压、眼压控制成功率、并发症。结果术后1 d、术后1周、术后1个月、术后3个月、术后6个月两组眼压统计学意义(均P>0.05)。小梁切除术联合可调整缝线组眼压控制总成功率84%(21/25),低于改良小梁切除术组96%(24/25),差别无统计学意义(P>0.05);术后浅前房、脉络膜脱离、低眼压等发生率两组相似。改良小梁切除术组术后降眼压药物使用数量低于联合可调整缝线的小梁切除术组(P<0.05)。结论改良小梁切除术术后6个月的总成功率略高于联合可拆除缝线术的小梁切除术,两组并发症发生率相当。展开更多
文摘AIM：To present a novel scleral flap suturing technique for filtering glaucoma surgery in order to control high postoperative intraocular pressure（IOP）.METHODS：Description of ‘the accordion suture＇ technique for mitomycin C augmented trabeculectomy.In cases of postoperative high IOP,pulling the loop of the suture helps to lift up the scleral flap by an even pressure on both edges.By means of this technique,the scleral flap opens up in an ‘‘accordion＇＇ manner,thus preventing flap obstruction and providing adequate aqueous flow.RESULTS：Our study group consisted of 8 eyes of 8 patients with neovascular glaucoma.Mean age of the subjects was 67.42±8.21 y and female/male ratio was 4/4.Mean preoperative IOP was 37±7.48 mm Hg.Mitomycin C augmented trabeculectomy was carried out on the subjects without any complications.The scleral flap closure is performed with three separate sutures;initially,our accordion suture through the center of the flap,and two releasable sutures on both corners.All the patients received removal of two side releasable sutures concomitant with pulling the accordion suture,without any complications.The average traction time was 3.5±0 wk postoperatively.The mean postoperative IOP was 11.37±2.72 mm Hg.No suture related complications were observed.CONCLUSION：This technique can be the suture of choice for filtering glaucoma surgery in experienced hands by its easy learning curve for precisely indicated patients.
文摘目的评估可调整缝线在原发性闭角型青光眼(PACG)患者行小梁切除术中应用的价值。方法来自江苏省人民医院眼科住院的PACG患者50例(50只眼)。随机分为小梁切除术联合可调整缝线组(25只眼)和传统小梁切除术组(25只眼)。术后1 d、7周、1个月、3个月、6个月随访。行LogMAR视力表检查视力、Goldmann压平眼压计测量眼压。眼压控制成功指在末次随访时未使用降眼压药物眼压<21 mm Hg;条件成功指在末次随访时在联合使用降眼压药物情况下眼压<21 mm Hg。主要指标为眼压、眼压控制成功率、并发症。结果术后1 d、术后1周、术后1个月、术后3个月、术后6个月两组眼压统计学意义(均P>0.05)。小梁切除术联合可调整缝线组眼压控制总成功率84%(21/25),低于改良小梁切除术组96%(24/25),差别无统计学意义(P>0.05);术后浅前房、脉络膜脱离、低眼压等发生率两组相似。改良小梁切除术组术后降眼压药物使用数量低于联合可调整缝线的小梁切除术组(P<0.05)。结论改良小梁切除术术后6个月的总成功率略高于联合可拆除缝线术的小梁切除术,两组并发症发生率相当。
