Kun Hu, Yingzhe Zhang, Fengbin Lin, Yunhe Song, Xiulan Zhang
{"title":"切开术联合巨大纤维囊泡切除及引流板移除治疗难治性青光眼1例","authors":"Kun Hu, Yingzhe Zhang, Fengbin Lin, Yunhe Song, Xiulan Zhang","doi":"10.4103/ijo.ijo_174_23","DOIUrl":null,"url":null,"abstract":"We report a case of goniotomy (GT) with giant fibrotic bleb resection and drainage plate removal following multiple failed antiglaucoma filtering surgeries. A 36-year-old man underwent trabeculectomy and Ahmed glaucoma valve implantation, revealing a giant fibrotic capsule with medically uncontrolled intraocular pressure (IOP) in the left eye. Removal of the drainage tube, resection of the fibrotic bleb, and a combination with GT were performed successfully, and the IOP was well controlled with a 6-month follow-up after surgery. GT may be successful for refractory glaucoma after filtering for surgical failure caused by fibrosis.","PeriodicalId":93298,"journal":{"name":"Indian journal of ophthalmology. Case reports","volume":"63 1","pages":"706 - 708"},"PeriodicalIF":0.0000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Goniotomy combined with giant fibrotic encapsulated bleb resection and drainage plate removal for refractory glaucoma: A case report\",\"authors\":\"Kun Hu, Yingzhe Zhang, Fengbin Lin, Yunhe Song, Xiulan Zhang\",\"doi\":\"10.4103/ijo.ijo_174_23\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"We report a case of goniotomy (GT) with giant fibrotic bleb resection and drainage plate removal following multiple failed antiglaucoma filtering surgeries. A 36-year-old man underwent trabeculectomy and Ahmed glaucoma valve implantation, revealing a giant fibrotic capsule with medically uncontrolled intraocular pressure (IOP) in the left eye. Removal of the drainage tube, resection of the fibrotic bleb, and a combination with GT were performed successfully, and the IOP was well controlled with a 6-month follow-up after surgery. GT may be successful for refractory glaucoma after filtering for surgical failure caused by fibrosis.\",\"PeriodicalId\":93298,\"journal\":{\"name\":\"Indian journal of ophthalmology. Case reports\",\"volume\":\"63 1\",\"pages\":\"706 - 708\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian journal of ophthalmology. Case reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/ijo.ijo_174_23\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian journal of ophthalmology. Case reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ijo.ijo_174_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Goniotomy combined with giant fibrotic encapsulated bleb resection and drainage plate removal for refractory glaucoma: A case report
We report a case of goniotomy (GT) with giant fibrotic bleb resection and drainage plate removal following multiple failed antiglaucoma filtering surgeries. A 36-year-old man underwent trabeculectomy and Ahmed glaucoma valve implantation, revealing a giant fibrotic capsule with medically uncontrolled intraocular pressure (IOP) in the left eye. Removal of the drainage tube, resection of the fibrotic bleb, and a combination with GT were performed successfully, and the IOP was well controlled with a 6-month follow-up after surgery. GT may be successful for refractory glaucoma after filtering for surgical failure caused by fibrosis.
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