关键词: congenital glaucoma deep sclerectomy open angle glaucoma retinal tear rhegmatogenous retinal detachment

来  源:   DOI:10.7759/cureus.53854   PDF(Pubmed)

Abstract:
Glaucoma is a prevalent neurodegenerative disease. It causes progressive visual loss and is one of the most common causes of blindness worldwide. It can be categorized into open-angle or closed-angle glaucoma. Primary congenital glaucoma (PCG) is a subdivision of open-angle glaucoma. Non-penetrating deep sclerectomy (NPDS) is a surgical method for managing open-angle and primary congenital glaucoma, which was first introduced in 1990. During NPDS, a sclera flap is raised but not completely removed, and the outer part of Schlemm\'s canal and trabecular meshwork, along with the juxtacanalicular tissue, are excised without completely penetrating the eye. Therefore, it is considered a safe and efficient option for controlling intraocular pressure. This report shows a unique case of uncommon complication post-deep sclerectomy, a giant retinal tear, after undergoing non-penetrating deep sclerectomy for primary congenital glaucoma.
摘要:
青光眼是一种普遍存在的神经退行性疾病。它导致进行性视力丧失,是全球最常见的失明原因之一。它可以分为开角型或闭角型青光眼。原发性先天性青光眼(PCG)是开角型青光眼的一个细分。非穿透性深层巩膜切除术(NPDS)是一种治疗开角型和原发性先天性青光眼的手术方法,于1990年首次推出。在NPDS期间,巩膜瓣升高但未完全移除,以及Schlemm管和小梁网的外部,连同导管旁组织,在没有完全穿透眼睛的情况下切除。因此,它被认为是控制眼压的安全有效的选择。本报告显示了一个特殊的病例,即深巩膜切除术后罕见的并发症,巨大的视网膜撕裂,在接受非穿透性深层巩膜切除术治疗原发性先天性青光眼后。
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