Mitomycin C combined scleral flap suture adjustment of the treatment of neovascular glaucoma.doc

 PAGE \* MERGEFORMAT 11 Mitomycin C combined scleral flap suture adjustment of the treatment of neovascular glaucoma Keywords: sutured scleral flap of mitomycin C neovascular glaucoma Neovascular glaucoma secondary to central retinal vein occlusion, diabetic retinopathy, retinal vein Yandeng around the eye, conventional surgical result is not satisfactory. Authors from August 2004 to August 2007 with mitomycin C combined scleral flap suture adjustment in the treatment of neovascular glaucoma, results were satisfactory, the report is as follows. A clinical data 1.1 General Information 18 cases of 19 patients, 13 males 14, female 5 cases of 5; the average age of 51.3 (± 2.1) years of age. Cause of diabetic retinopathy 11 eyes, central retinal vein occlusion in 5 eyes, retinal periphlebitis 3. The mean preoperative IOP 40.50 (± 1.9) mmHg. Preoperative visual acuity, “0.1 in 5 eyes, 0.1 ~ 0.01 by 10,” 0.01 in 4 eyes. 1.2 surgical (1) surgical procedures: conventional disinfection shop towel. Times Snow Hi topical anesthesia, 1% lidocaine +0.75% bupivacaine mixture of 50% made after retrobulbar anesthesia and facial nerve block anesthesia. Eyelid opening device to open eyelid, superior rectus traction sutures. To allow for the basement vault of the conjunctival flap. For 3mm × 3mm square 1 / 2 thickness scleral flap, stripping to the transparent cornea 1.0mm. Will produce a good 0.04% mitomycin C filter paper under the level posted in the scleral flap placed 3 ~ 5min after the saline wash 250ml incision and conjunctival sac. Temporal periphery to make a clear corneal paracentesis. Removal of 2.0mm × 1.0mm size of the trabecular organization. Removal of trabecular incision slightly larger than the size of the peripheral iris. Interrupted suture of the scleral flap position Vertex 2-pin 2. Since the anterior chamber puncture and I move forward into the room balanced salt solution, according to the anterior chamber to maint