테논낭의 회전 피판을 이용한 저안압 치험 1예

• 영문명: Rotation Flap of Tenon`s Capsule for Treating Hypotony
• 발행기관: 대한안과학회
• 저자명: 김연희 김상국 형성민,Younhui Kim, M.D., Sang Kook Kim, M.D., Sungmin Hyung, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume48,number6, 860~865쪽, 전체 6쪽
• 주제분류: 인문학 > 역사학
• 파일형태: PDF
• 발행일자: 2007.06.30

영문 초록

Purpose: To report a case of rotational flap of Tenon`s capsule for hypotony with choroidal detachment occurring after trabeculectomy and needle revision (NR) of a nonfunctioning bleb. Methods: An 15-year-old female, suffering acute angle-closure glaucoma with lens dislocation into anterior chamber, underwent pars plana vitrectomy, lensectomy, and intraocular lens scleral fixation. Three months later, trabeculectomy with mitomycin C (MMC) and NR with MMC were performed to decrease intraocular pressure (IOP). After 5th NR, hypotony with choroidal detachment occurred. Consequently, bleb revision and rotation flap of the autologous Tenon`s capsule were performed. Results: One week after surgery, IOP was 18 mmHg, and a diffuse bleb was formed. Choroidal detachment improved with remaining vascular tortuisity and chorioretinal folds. At five months, best corrected visual acuity was 0.5, IOP was 20 mmHg, vascular tortuisity decreased, and chorioretinal folds disappeared in the macula. Conclusions: Hypotony with choroidal detachment occurring after needle revision was treated effectively with bleb revision and rotation at flap of autologous Tenon’s capsule.

키워드

Choroidal detachment, Hypotony, Rotation flap, Tenon`s capsule