マイトマイシンC併用線維柱帯切除術後の晩期合併症に対する有茎弁結膜被覆術の短期成績

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  • Outcomes of Conjunctival Pedicle Flap for Late-onset Complications Following Trabeculectomy with Mitomycin C
  • マイトマイシン C ヘイヨウ センイ チュウタイ セツジョ ジュツゴ ノ バンキ ガッペイショウ ニ タイスル ユウケイベン ケツマク ヒフクジュツ ノ タンキ セイセキ

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We retrospectively analyzed the short-term results (8 weeks) of the use of a conjunctival pedicle flap (CPF) for treating late complications following trabeculectomy with mitomycin C in 10 eyes of 10 patients with glaucoma. The main indications for CPF were bleb leak (8 eyes), overhanging bleb (1 eye), and choroidal detachment (1 eye). In all patients we performed bleb excision and advancement of the adjacent conjunctiva. Eight weeks after CPF transfer, no hypotony, bleb leak, overhanging bleb, or choroidal detachment was observed in any patient. Mean intraocular pressure at all time points after 1 week was significantly higher than before CPF transfer (p<0.01). The intraocular pressure after CPF transfer was higher than 15mmHg in 7 cases (70%) and higher than 20mmHg in 4 cases (40%).<br>

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