MANAGEMENT OF PERSISTENT HYPOTONY AFTER PLANNED OR INADVERTENT CYCLODIALYSIS

MANAGEMENT OF PERSISTENT HYPOTONY AFTER PLANNED OR INADVERTENT CYCLODIALYSIS
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DOI:
10.1016/0002-9394(71)90405-3
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发表时间:
1971-01-01
影响因子:
4.2
通讯作者:
STARK, WJ
STARK, WJ
中科院分区:
医学1区
文献类型:
--
作者:
MAUMENEE, AE;STARK, WJ

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总之,6例持续性低眼压并发各种眼内手术的眼前段。2例睫状体分离术后发生低眼压,3例发生在圆瞳孔囊内白内障摘除术后,1例发生在周边虹膜切除术后。在每种情况下,通过前房角镜可视化和将染料注射到前房后从巩膜切开部位回收荧光素来证明存在未闭睫状体断离。睫状体上液引流结合巩膜穿透透热,以半圆形的方式,在裂隙的圆周范围内有效地提高了眼内压,改善了每例患者的视力。
In summary, six patients with persistent hypotony complicating various intraocular procedures on the anterior segment of the eye are presented. Two cases of hypotony followed a cyclodialysis procedure, three occurred after round-pupil intracapsular cataract extraction, and one after peripheral iridectomy. In each case a patent cyclodialysis cleft was present as demonstrated by gonioscopic visualization and by recovering fluorescein from the sclerotomy site after injection of the dye into the anterior chamber. Drainage of supraciliary fluid in conjunction with penetrating diathermy to the sclera, in a semicircular fashion, about the circumferential extent of the cleft was effective in elevating the intraocular pressure and improving visual acuity in each case.