Biological amniotic membrane in refractory glaucoma surgery.docVIP

 PAGE \* MERGEFORMAT 12 Biological amniotic membrane in refractory glaucoma surgery Keywords: glaucoma The treatment of refractory glaucoma has been a rather thorny issue of clinicians, patients not only showed poor eyesight, and often accompanied by stubborn bulging eyes, headache, nausea, vomiting, a direct impact on the patient’s work and quality of life. Author in October 2004 to October 2006, to our hospital 13 cases of refractory glaucoma trabeculectomy combined with the purposes of amniotic membrane-attached bio-Rui Ji-treatment, are reported as follows. 1 Data and methods 1.1 General Information Refractory glaucoma in this group 13 cases (13 eyes). 5 males and 8 females; aged 23 to 78 years, with an average 53.7 years of age. Which neovascular glaucoma in 2 cases, two or more times of anti-glaucoma surgery failure, chronic angle-closure glaucoma, 8 cases of secondary glaucoma after ocular trauma in 3 cases. Preoperative light perception 1, manual 2, index of 5, 0.02 ~ 0.1 in 5 eyes. Preoperative IOP 44.6 ~ 80.1mmHg. Neovascular glaucoma, see pupil margin of the iris surface and the Department of neovascularization. 1.2 surgical Conventional disinfection shop towel, conjunctival sac of topical anesthesia, do to limbal basement, an area of about 10mm × 15mm of the conjunctival flap from the corneal margin of about 10mm, electrocoagulation of bleeding, so 1 / 3 of thickness of the scleral flap, the size of 5mm × 5mm, cut with deep scleral trabecular organization organization 4mm × 1mm, so iridectomy. × × Co., Ltd. Jiangxi Province using biological amnion, with sterile saline soaked (soak temperature of 25 ~ 30 ℃, according to clinical practice requirements, so that an appropriate rehydration amniotic membrane after Jiediao under care in the amniotic membrane filter paper, filter paper surface in order to paste for the ocular surface contact with flat face affixed to the sclera under the bed, the front end away