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[PMID]:29343222
[Au] Autor:Liu B; Li Y; Li T; Lin Y; Ma W; Lu L
[Ad] Endereço:State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, 510060, China.
[Ti] Título:Transscleral tunnel incision related arterial hemorrhage in 23-gauge Vitrectomy: case report.
[So] Source:BMC Ophthalmol;18(1):9, 2018 Jan 17.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Transscleral tunnel incisions are commonly made to avoid postoperative leakage in small gauge sutureless vitrectomy. We present an unreported intraoperative complication, tunnel incision related arterial hemorrhage from sclerotomy, in 23-gauge (23G) vitrectomy. CASE PRESENTATION: Two cases of intraocular arterial hemorrhage from superonasal sclerotomy were observed at the beginning of vitrectomy. The bleeding filled the vitreous cavity quickly and gushed out from the incision port after the involved supronasal cannula was removed. The active bleeding seemed not to stop spontaneously. We controlled the active bleeding by relocating the involved cannula, elevating the intraocular pressure and compressing the sclera wound. Post-operative intraocular hemorrhage from the sclerotomy was not found in any of the two cases. CONCLUSIONS: We suggest that the bleeding was from injured ciliary artery when the incision crossed 3 or 9 o'clock accidently. Surgeons might avoid this complication by locating the superior incisions away from the horizontal axis, and should be aware the proper management.
[Mh] Termos MeSH primário: Perda Sanguínea Cirúrgica
Artérias Ciliares/lesões
Perfurações Retinianas/cirurgia
Esclera/cirurgia
Esclerostomia/efeitos adversos
Lesões do Sistema Vascular/complicações
Vitrectomia/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Hemostasia Cirúrgica/métodos
Seres Humanos
Pressão Intraocular
Masculino
Microcirurgia/efeitos adversos
Meia-Idade
Perfurações Retinianas/diagnóstico
Técnicas de Sutura/instrumentação
Tomografia de Coerência Óptica
Lesões do Sistema Vascular/diagnóstico
Lesões do Sistema Vascular/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180119
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0677-6


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[PMID]:28911991
[Au] Autor:Rajendrababu S; Babu N; Sinha S; Balakrishnan V; Vardhan A; Puthuran GV; Ramulu PY
[Ad] Endereço:Department of Glaucoma, Aravind Eye Hospital, Madurai, Tamil Nadu, India.
[Ti] Título:A Randomized Controlled Trial Comparing Outcomes of Cataract Surgery in Nanophthalmos With and Without Prophylactic Sclerostomy.
[So] Source:Am J Ophthalmol;183:125-133, 2017 Nov.
[Is] ISSN:1879-1891
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To prospectively evaluate visual outcomes and complications during and after cataract surgery with or without prophylactic sclerostomy in nanophthalmic eyes with visually significant cataract. STUDY DESIGN: Randomized controlled trial. METHODS: Sixty nanophthalmic eyes of 60 patients with visually significant cataract were randomly assigned to cataract surgery alone (control group, n = 31) or cataract surgery with concomitant prophylactic sclerostomy (sclerostomy group, n = 29). Surgery was performed using phacoemulsification or manual small-incision cataract surgery (SICS) based on the LOCS III grading score. Group differences in intraoperative and postoperative complications were analyzed and risk factors assessed. RESULTS: Fewer complications were noted in eyes receiving sclerostomy (5/29, 17.2%) as compared to control group eyes (12/31, 38.7%), though differences were marginally significant (P = .065). Four control group, but no sclerostomy group, eyes developed postoperative uveal effusions (P = .04). In multivariable models, sclerostomy decreased the odds of an intraoperative or postoperative complication by 80% (odds ratio [OR] = 0.2, 95% confidence interval [CI] = 0.04-0.92, P = .039); SICS was associated with a significantly higher risk of complications as compared to phacoemulsification (OR = 5.95, 95% CI = 1.49-23.73, P = .012), while high preoperative intraocular pressure (OR = 4.54, 95% CI = 0.99-20.9, P = .052) and greater lens thickness (OR = 3.38, 95% CI = 0.88-12.91, P = .075) demonstrated a marginally significant association. CONCLUSIONS: Cataract surgery in eyes with nanophthalmos is associated with a high risk for vision-threatening complications. Performing a simultaneous prophylactic sclerostomy with cataract surgery reduces complication rates, particularly uveal effusions. Cataract surgery at earlier stages by phacoemulsification may be more beneficial than undergoing manual SICS.
[Mh] Termos MeSH primário: Catarata/complicações
Complicações Intraoperatórias/prevenção & controle
Microftalmia/complicações
Facoemulsificação/efeitos adversos
Complicações Pós-Operatórias/prevenção & controle
Esclerostomia/métodos
Acuidade Visual
[Mh] Termos MeSH secundário: Feminino
Seguimentos
Seres Humanos
Masculino
Microftalmia/cirurgia
Microcirurgia/métodos
Meia-Idade
Estudos Prospectivos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170916
[St] Status:MEDLINE


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[PMID]:28486276
[Au] Autor:Grover DS; Fellman RL
[Ad] Endereço:Glaucoma Associates of Texas, Dallas, TX.
[Ti] Título:Outcomes for Ab Interno Bleb Revision With a Novel Translimbal Sclerostomy Spatula.
[So] Source:J Glaucoma;26(7):633-637, 2017 Jul.
[Is] ISSN:1536-481X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To report outcomes for a novel ab interno bleb revision technique and spatula. PATIENTS AND METHODS: This is a retrospective chart review. RESULTS: A total of 21 eyes of 21 patients underwent ab interno bleb revision with the Grover-Fellman biplanar sclerostomy spatula. Mitomycin C was given at least 1 week preoperation. The mean age of the patients and blebs were 67 and 6.75 years, respectively. The mean follow-up is 10.6 months (range: 3 to 17 mo). Mean preoperative intraocular pressure (IOP) (SD) was 21.9 (9.1) mm Hg on 3.7 (1.2) glaucoma medications. At 12 months follow-up, the mean IOP was 12.1 mm Hg on 0.86 medications. Four eyes failed due to uncontrolled IOP needing a tube shunt. One eye failed due to uncontrolled IOP but was lost to follow-up before a tube shunt could be performed. All failures occurred within 3 months. Two eyes had an IOP of <5 mm Hg after 1 month with no evidence of hypotony maculopathy. These cases resolved after 3 months without surgical intervention. All successful cases had blebs that were low, diffuse, and posterior. CONCLUSIONS: After a failed filtration surgery, a low-diffuse bleb was reestablished by pretreating with subconjunctival mitomycin C followed by ab interno bleb revision with the Grover-Fellman biplanar sclerostomy spatula, decreasing further more invasive glaucoma procedures.
[Mh] Termos MeSH primário: Alquilantes/administração & dosagem
Glaucoma/cirurgia
Mitomicina/administração & dosagem
Esclerostomia/instrumentação
Retalhos Cirúrgicos
Trabeculectomia/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Terapia Combinada
Túnica Conjuntiva/efeitos dos fármacos
Feminino
Seguimentos
Seres Humanos
Pressão Intraocular/fisiologia
Masculino
Meia-Idade
Reoperação
Estudos Retrospectivos
Falha de Tratamento
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Alkylating Agents); 50SG953SK6 (Mitomycin)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171024
[Lr] Data última revisão:
171024
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1097/IJG.0000000000000686


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[PMID]:28002191
[Au] Autor:Elbaz H; Sekundo W; Schröder FM; Schulze S
[Ad] Endereço:Ophthalmology Department, Philipps University of Marburg, Marburg, Germany.
[Ti] Título:Sekundo's Applanator: 5 Years of Experience With Transconjunctival Suturing.
[So] Source:J Glaucoma;26(2):e110-e112, 2017 Feb.
[Is] ISSN:1536-481X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Sekundo's Applanator is a new surgical instrument used mainly in transconjunctival scleral flap suturing in cases of postoperative hypotony after trabeculectomy. In contrast to Hoskins lens, it offers better visualization of the border of the scleral flap with good intraoperative stabilization of the globe; thus, it increases the effectiveness and decreases the time of the surgical procedure. Sekundo's Applanator was also found to be useful in reducing the size of an oversized bleb after trabeculectomy and in the closure of leaking sutureless sclerotomies after vitrectomies. In this report, we present and discuss the properties, uses, and advantages of this new instrument to the ophthalmic community.
[Mh] Termos MeSH primário: Túnica Conjuntiva/cirurgia
Procedimentos Cirúrgicos Oftalmológicos/instrumentação
Esclera/cirurgia
Retalhos Cirúrgicos
Técnicas de Sutura/instrumentação
[Mh] Termos MeSH secundário: Seres Humanos
Pressão Intraocular
Hipotensão Ocular/cirurgia
Complicações Pós-Operatórias
Estudos Retrospectivos
Esclerostomia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171027
[Lr] Data última revisão:
171027
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161222
[St] Status:MEDLINE
[do] DOI:10.1097/IJG.0000000000000613


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[PMID]:27696087
[Au] Autor:Küçük E; Yilmaz U; Zor KR; Kalayci D; Sarikatipoglu H
[Ad] Endereço:Nigde State Hospital, Nigde, Turkey. erkutkucuk@yahoo.com.
[Ti] Título:Risk factors for suture requirement and early hypotony in 23-gauge vitrectomy for complex vitreoretinal diseases.
[So] Source:Int Ophthalmol;37(4):989-994, 2017 Aug.
[Is] ISSN:1573-2630
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To find out the rate of suture requirement and post-operative hypotony in a series of 23-gauge pars plana vitrectomy cases and analyze the factors affecting post-operative hypotony and leakage of sclerotomy leading to suture placement. METHODS: This is a single-center retrospective interventional case series. Eighty-four eyes underwent 23-gauge vitrectomy. Primary endpoint measures were rate of leakage of 23-gauge sclerotomies requiring suture placement at the end of surgery and rate of early post-operative hypotony. Secondary endpoint measures were risk factors for early hypotony and leakage requiring suture placement at the end of surgery. RESULTS: Suture placement in at least one sclerotomy because of sclerotomy leakage was required in 28.6 % (24 of 84) of eyes at the end of surgery. Early post-operative hypotony was seen in 14.3 % (12 of 84). Silicone oil endotamponade and single-step surgery were found as factors increasing the risk of sclerotomy leakage leading to suture placement. Suture placement was the only significant factor increasing the risk of early post-operative hypotony. CONCLUSION: Sclerotomy sutures may be required in 23-gauge surgery, more frequently in cases of single-step sclerotomy and/or silicone oil endotamponade. Meticulous suturation of leaking sclerotomies may decrease the rate of post-operative hypotony.
[Mh] Termos MeSH primário: Doenças da Coroide/cirurgia
Hipertensão Ocular/prevenção & controle
Complicações Pós-Operatórias/prevenção & controle
Doenças Retinianas/cirurgia
Técnicas de Sutura/instrumentação
Suturas
Vitrectomia/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Pressão Intraocular
Masculino
Meia-Idade
Hipertensão Ocular/fisiopatologia
Estudos Retrospectivos
Esclerostomia/efeitos adversos
Esclerostomia/métodos
Fatores de Tempo
Vitrectomia/métodos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161004
[St] Status:MEDLINE
[do] DOI:10.1007/s10792-016-0361-x


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[PMID]:27627753
[Au] Autor:Jusufbegovic D; Ozkok A; Schaal S
[Ad] Endereço:*Department of Ophthalmology and Visual Sciences, University of Louisville, Louisville, Kentucky; and †Department of Ophthalmology and Visual Sciences, University of Massachusetts Medical School, Worcester, Massachusetts.
[Ti] Título:Intraoperative Optical Coherence Tomography Validates the Immediate Efficacy of External Diathermy in Sealing 25-Gauge Sclerotomy Wounds.
[So] Source:Retina;37(2):402-404, 2017 Feb.
[Is] ISSN:1539-2864
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Diatermia/métodos
Esclerostomia/métodos
Tomografia de Coerência Óptica/métodos
Vitrectomia/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Período Intraoperatório
Estudos Prospectivos
Esclera/cirurgia
Técnicas de Sutura
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160915
[St] Status:MEDLINE
[do] DOI:10.1097/IAE.0000000000001278


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[PMID]:27429386
[Au] Autor:Tzamalis A; Symeonidis C; Brazitikou IP; Tzetzi D; Chalvatzis N; Androudi S; Brazitikos P
[Ad] Endereço:*Second Department of Ophthalmology, Aristotle University of Thessaloniki, "Papageorgiou" General Hospital, Thessaloniki, Greece; and †Department of Ophthalmology, University of Thessaly, Larissa, Greece.
[Ti] Título:SUTURELESS CLEAR CORNEAL ULTRASONIC FRAGMENTATION FOR RETAINED LENS FRAGMENTS: A Pilot Study.
[So] Source:Retina;37(3):494-499, 2017 Mar.
[Is] ISSN:1539-2864
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To describe the safety and efficacy of removing posteriorly dislocated lens fragments with the use of intravitreal ultrasonic fragmentation through a limbal, clear cornea self-sealing incision. METHODS: Patients presenting with posteriorly luxated nuclei were enrolled in this prospective case series. Preoperative examination included evaluation of the corneal endothelium by means of specular microscopy. A 3-port 25+ pars plana vitrectomy was initially performed. Following vitrectomy, sclerotomies were sealed using scleral plugs and a limbal/clear corneal incision was performed for the insertion of the fragmatome probe. The incision was slightly larger (1 mm) than the diameter of the fragmatome probe (20 gauge = 0.81 mm) to avoid wound overheating. At the end of the procedure, an appropriate intraocular lens either sulcus-fixated or angle-supported was implanted. Primary outcome measures were mean postoperative best-corrected visual acuity, intraoperative or postoperative complications, and intraoperative challenging features. RESULTS: In all eyes, fragmentation was completed successfully with a mean total ultrasound time of 113.4 seconds. Nucleus density was ≥3 in all cases (mean ± SD = 3.8 ± 0.4). Intraoperative challenges included viewing difficulties because of corneal distortion, fragment turbulence, and leakage through the limbal incision potentially compromising fundus visualization. There was statistically nonsignificant reduction in endothelial cell density ranging between 1932 ± 187 cells per square millimeter preoperatively to 1789 ± 213 cells per square millimeter at the first month postoperatively (P = 0.79). CONCLUSION: Clear corneal, sutureless ultrasonic fragmentation seems to be a novel, safe, and efficient method for the removal of hard posteriorly dislocated lens fragments, sparing the need for a 20-gauge scleral port.
[Mh] Termos MeSH primário: Córnea/cirurgia
Implante de Lente Intraocular
Subluxação do Cristalino/cirurgia
Facoemulsificação/métodos
Técnicas de Sutura
Vitrectomia/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Contagem de Células
Epitélio Posterior/patologia
Feminino
Seres Humanos
Complicações Intraoperatórias
Masculino
Meia-Idade
Projetos Piloto
Complicações Pós-Operatórias
Estudos Prospectivos
Pseudofacia/fisiopatologia
Esclerostomia
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160719
[St] Status:MEDLINE
[do] DOI:10.1097/IAE.0000000000001197


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[PMID]:27312205
[Au] Autor:Yan H
[Ad] Endereço:Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin - PR China.
[Ti] Título:Scleral buckling with a noncontact wide-angle viewing system in the management of rhegmatogenous retinal detachment.
[So] Source:Eur J Ophthalmol;27(1):98-103, 2017 Jan 19.
[Is] ISSN:1724-6016
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To introduce a modified scleral buckling surgery using noncontact wide-angle viewing system and intraocular illumination in the treatment of rhegmatogenous retinal detachment (RRD) without proliferative retinopathy. METHODS: A modified scleral buckling surgery using noncontact wide-angle viewing system with a 25-G optic fiber through sclerotomy site was performed in 22 eyes of 22 patients with RRD. Twelve women and 10 men were included. The mean age was 49.23 ± 15.19 years. The mean refraction of myopia was -4 D (range -3 to -7 D). The mean duration of RRD was 6.64 ± 3.14 days. The preoperative best-corrected visual acuity (BCVA) ranged from 0.02 to 0.8. Mean follow-up was 9.59 ± 2.24 months. Proliferative retinopathy was grade A in 8 eyes and grade B in 14 eyes. RESULTS: This surgery was performed successfully and retinal attachment was achieved in all eyes at the final follow-up. The postoperative BCVA increased in all eyes. No complication was encountered related to this technique. CONCLUSIONS: This modified scleral buckling surgery brings a panoramic and upright view and easy surgical maneuvers. It may be an additional approach for the management of RRD.
[Mh] Termos MeSH primário: Descolamento Retiniano/cirurgia
Recurvamento da Esclera/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Miopia/cirurgia
Estudos Prospectivos
Descolamento Retiniano/diagnóstico
Descolamento Retiniano/fisiopatologia
Recurvamento da Esclera/instrumentação
Esclerostomia
Resultado do Tratamento
Acuidade Visual/fisiologia
Vitrectomia/métodos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160618
[St] Status:MEDLINE
[do] DOI:10.5301/ejo.5000819


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[PMID]:27058831
[Au] Autor:Jung S; Kwon T; Zhang CC; Chuck RS; Kwon JW
[Ad] Endereço:Department of Ophthalmology (S.J., J.W.K.), Myongji Hospital, Seonam University College of Medicine, Goyang, Korea; Department of Pathology (T.K.), Myongji Hospital, Seonam University College of Medicine, Goyang, Korea; and Department of Ophthalmology and Visual Sciences (C.C.Z., R.S.C., J.W.K.), Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY.
[Ti] Título:A Novel Surgical Approach for Oculodermal Melanocytosis: Superficial Sclerectomy.
[So] Source:Eye Contact Lens;43(4):253-256, 2017 Jul.
[Is] ISSN:1542-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To report the outcomes of a new surgical method for oculodermal melanocytosis (nevus of Ota)-superficial scleral separation. METHODS: Twenty-five eyes of 25 patients with scleral pigmentation arising from oculodermal melanocysis. These patients underwent superficial scleral separation between March 2012 and February 2013. Each patient was evaluated with the followings: ocular examinations, the preoperative extent of scleral involvement of nevus of Ota, satisfaction score after surgery, histologic examination, and postoperative complications. Main outcome measures were best-corrected visual acuity (BCVA), induced refractive error, intraocular pressure (IOP), patient satisfaction scores, and anterior segment photographs. RESULTS: All patients showed cosmetic improvement without any serious complications. Preoperative and postoperative BCVA, IOP, and refractive outcomes did not change significantly. CONCLUSIONS: Superficial scleral separation is an effective procedure for cosmetic improvement of oculodermal melanocytosis.
[Mh] Termos MeSH primário: Neoplasias Oculares/cirurgia
Nevo de Ota/cirurgia
Esclera/cirurgia
Esclerostomia/métodos
Neoplasias Cutâneas/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Seres Humanos
Pressão Intraocular/fisiologia
Masculino
Meia-Idade
Erros de Refração/fisiopatologia
Inquéritos e Questionários
Acuidade Visual/fisiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160409
[St] Status:MEDLINE
[do] DOI:10.1097/ICL.0000000000000263


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[PMID]:26154465
[Au] Autor:Shah SB; Pro MJ; Moster MR
[Ad] Endereço:a Northern Virginia Ophthalmology Associates , Falls Church , VA , USA and.
[Ti] Título:Use of Gamma-Irradiated Cornea to Plug Sclerostomy Site During Tube Shunt Revision.
[So] Source:Semin Ophthalmol;32(2):182-184, 2017.
[Is] ISSN:1744-5205
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Tube shunt implantation is a common procedure for control of intraocular pressure (IOP). However, tube revision and repositioning must sometimes be performed, and this involves removing the tube from its sclerostomy site. This site is prone to leaking and this may cause postoperative hypotony. We describe a novel and cosmetically acceptable technique of plugging and covering the sclerostomy site with gamma-irradiated corneal tissue.
[Mh] Termos MeSH primário: Córnea/efeitos da radiação
Transplante de Córnea/métodos
Raios gama/uso terapêutico
Implantes para Drenagem de Glaucoma
Glaucoma/cirurgia
Esclerostomia/métodos
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Córnea/cirurgia
Feminino
Glaucoma/fisiopatologia
Seres Humanos
Pressão Intraocular
Meia-Idade
Complicações Pós-Operatórias
Reoperação
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170309
[Lr] Data última revisão:
170309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150709
[St] Status:MEDLINE
[do] DOI:10.3109/08820538.2015.1045302



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