Recruitment of Temporal Aqueous Outflow Channels After Bent Needle Ab-Interno Goniectomy Demonstrated by Aqueous Angiography.
Recruitment of Temporal Aqueous Outflow Channels After Bent Needle Ab-Interno Goniectomy Demonstrated by Aqueous Angiography.
复制标题
房水血管造影显示弯针腹内房角切除术后颞房房水流出通道的募集。
DOI：
10.1097/ijg.0000000000002131
复制
发表时间：
2023
影响因子：
2
通讯作者：
Verma,Saurabh
中科院分区：
文献类型：
--
作者：
Dada,Tanuj;Bukke,AnandNaik;Huang,AlexS;Sharma,Namrata;Verma,Saurabh
目的：通过活体-房水血管造影显示新的房水流出通道，探讨在颞部小梁网手术的应用价值。方法：对1例原发性开角型青光眼、核硬化和眼压不受控制的患者进行吲哚青绿房水血管造影，以显示基线功能性房水流出通道。然后是30度弯曲的针头，在颞骨象限行角间切开术，最初看不到房水流出通道。结果：前弯针行房角间切除术后，房水血管造影术显示流出通道在鼻侧象限有功能，而在颞侧象限未见。结论：1例开角型青光眼患者行额叶间房角切除术后，房水血管造影术证实房水流出通道的募集。
Purpose:To demonstrate the utility of operating on the temporal trabecular meshwork with in vivo-aqueous angiography demonstrating new aqueous outflow channels.Method:In a patient with primary open angle glaucoma, nuclear sclerosis, and medically uncontrolled intraocular pressure, Indocyanine green aqueous angiography (0.5%) was performed to visualize baseline functional aqueous outflow channels. This was followed by 30 degrees bent needle ab-interno goniectomy in the temporal quadrant, where no aqueous outflow channels were initially visualized. Aqueous angiography was repeated using 2% fluorescein to visualize aqueous outflow channels after bent needle ab-interno goniectomy.Results:Prebent needle ab-interno goniectomy, aqueous angiography revealed functional outflow channels in the nasal quadrant although none were visible in the temporal quadrant. Postbent needle ab-interno goniectomy in temporal quadrant aqueous angiography demonstrated 2 new aqueous outflow channels.Conclusion:In a patient with open angle glaucoma, following temporal quadrant ab-interno goniectomy, the recruitment of aqueous outflow channels was demonstrated using aqueous angiography.