METHODS: A 26 year old woman with advanced glaucomatous damage underwent trabeculectomy without antifibrotic agent in first trimester of pregnancy.
RESULTS: The intraocular pressures (IOP) were well controlled during pregnancy with no need of addiitional antiglaucoma medications. She delivered a healthy baby at term with no congenital abnormality.
CONCLUSIONS: Trabeculectomy without antifibrotic agents can be done in first trimester of pregnancy in cases where IOP cannot be controlled with topical antiglaucoma drugs that are considered safe during this period. This is the first report in literature on trabeculectomy in first trimester of pregnancy.
方法:一名26岁的晚期青光眼患者在妊娠早期接受了小梁切除术,没有使用抗纤维化药物。
结果:妊娠期间眼压(IOP)得到良好控制,不需要额外的抗青光眼药物。
结论:没有抗纤维化药物的小梁切除术可以在妊娠的前三个月进行,如果使用局部抗青光眼药物不能控制眼压,在这个时期被认为是安全的。