PDF(Pubmed)
Abstract：
UNASSIGNED: To describe a novel technique for repair of rhegmatogenous retinal detachment in an eye with a previous non-valved glaucoma drainage device, the Aurolab Aqueous Drainage Implant (AADI).
UNASSIGNED: A 5-year-old child with bilateral primary congenital glaucoma presented with an inferior retinal detachment (RD) in the left eye. The left eye had a history of multiple surgical interventions including combined trabeculotomy and trabeculectomy done twice, AADI implantation and subsequently phacoaspiration with IOL implantation, 18 months prior to presentation. The left eye retinal detachment was managed by scleral buckling technique using the plate of the AADI as a buckling element without its explantation.
UNASSIGNED: AND IMPORTANCE: Management of retinal detachment in eyes with a pre-existing glaucoma drainage device (GDD) is uniquely challenging. Explantation of the GDD would likely result in intractable glaucoma post-operatively, requiring another surgery. Use of the trimmed plate of the GDD itself as the buckling element helped in settling the RD and preserving intraocular pressure control.
UNASSIGNED: A 5-year-old child with bilateral primary congenital glaucoma presented with an inferior retinal detachment (RD) in the left eye. The left eye had a history of multiple surgical interventions including combined trabeculotomy and trabeculectomy done twice, AADI implantation and subsequently phacoaspiration with IOL implantation, 18 months prior to presentation. The left eye retinal detachment was managed by scleral buckling technique using the plate of the AADI as a buckling element without its explantation.
UNASSIGNED: AND IMPORTANCE: Management of retinal detachment in eyes with a pre-existing glaucoma drainage device (GDD) is uniquely challenging. Explantation of the GDD would likely result in intractable glaucoma post-operatively, requiring another surgery. Use of the trimmed plate of the GDD itself as the buckling element helped in settling the RD and preserving intraocular pressure control.
摘要：
■描述一种使用先前的非瓣膜性青光眼引流装置修复眼睛中的孔源性视网膜脱离的新技术，Aurolab水性排水植入物（AADI）。
■一名患有双侧原发性先天性青光眼的5岁儿童，左眼出现下视网膜脱离（RD）。左眼有多次手术史，包括两次联合小梁切开术和小梁切除术，AADI植入和随后的人工晶状体抽吸术植入，介绍前18个月。左眼视网膜脱离是通过巩膜扣带技术进行管理的，使用AADI的板作为扣带元件，而无需外植体。
■和重要性：使用预先存在的青光眼引流装置（GDD）处理眼睛中的视网膜脱离具有独特的挑战性。切除GDD可能会导致术后难治性青光眼，需要另一个手术。使用GDD本身的修整板作为屈曲元件有助于使RD沉降并保持眼内压控制。
■一名患有双侧原发性先天性青光眼的5岁儿童，左眼出现下视网膜脱离（RD）。左眼有多次手术史，包括两次联合小梁切开术和小梁切除术，AADI植入和随后的人工晶状体抽吸术植入，介绍前18个月。左眼视网膜脱离是通过巩膜扣带技术进行管理的，使用AADI的板作为扣带元件，而无需外植体。
■和重要性：使用预先存在的青光眼引流装置（GDD）处理眼睛中的视网膜脱离具有独特的挑战性。切除GDD可能会导致术后难治性青光眼，需要另一个手术。使用GDD本身的修整板作为屈曲元件有助于使RD沉降并保持眼内压控制。
