NR 3-4/2002
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Nieprzenikająca głęboka sklerektomia ab
externo z wszczepem śródtwardówkowym w jaskrze dziecięcej
Non-perforating deep sclerectomy ab externo with
intrascleral implant in juvenile glaucoma
Stanisław Krzywicki, Ewa Szała
Z Oddziału Okulistycznego Samodzielnego Publicznego Zespołu Zakładów Opieki Zdrowotnej
im. prof. dr. Jana Bogdanowicza w Warszawie
Ordynator: dr n. med. Stanislaw Krzywicki |
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| Summary: |
Purpose: Trabeculectomy, a very well known
procedure giving mainly good result, may sometimes produce many serious postoperative
complications, connected with opening of anterior chamber.
Another operating technique prepared by Fyodorov, Zimmerman and Kozlov, seems to be useful
in all cases with open-angle glaucoma and does not produce complications like the once
caused by trabeculectomy.
Material and method: Non-perforating sclerectomy was performed on 7
children aged 8 to 15 with juvenile glaucoma / in 4 cases as the first procedure and in 3
cases as a secondary technique after trabeculectomy done more than 10 years before /. The
operative technique was done with an implant to sclera made from natrium sodium of
hialuronic acid. Obseservation lasted from 6 to 18 months.
Results: In 6 cases good results were obtained after the first procedure,
in one reoperation was necessary.
The intraocular pressure / less than 20mmHg / was low in all eyes during 6 months
observation, after a year low intraocular pressure decreased in 72% of cases, but with
complimentary local therapy was low in all cases. In 1 eye there was intraoperative
complication- perforating of Schlemm's canal structures but without great outflow of
aqueous. All parameters of vision / visual acuity and visual field / were stable.
Conclusions: This operative technique, although difficult to perform was
not dangerous for the eye and gave good results, unfortunately only in some of the eyes. |
| Słowa kluczowe: |
głeboka nieprzenikająca sklerektomia ab externo, wszczep
śródskleralny, jaskra dziecięca. |
| Key words: |
non-perforating deep sclerectomy ab externo, intrascleral
implant, juvenile glaucoma. |
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