The Risk Factors for Posttrabeculectomy Bleb Needling Failure
作者: 夏翠然 ：辽宁何氏医学院附属盘锦何氏眼科医院, 辽宁 盘锦;
Abstract: Purpose: To analyze the risk factors for failure of posttrabeculectomy bleb needling. Methods: This retrospective observational study included 165 eyes that suffered from posttrabeculectomy filtering bleb needling due to high intraocular pressure from September 2002 to October 2013. In these eyes, primary glaucoma was presented in 97 eyes, traumatic secondary glaucoma was pre-sented in 16 eyes, secondary glaucoma associated with posterior segments operations was pre-sented in 17 eyes, trabeculectomy with cataract surgery was presented in 23 eyes and more than once trabeculectomy was presented in 12 eyes. The bleb needling was performed from 2 weeks to 3 months after trabeculectomy. The follow-up was at 3 - 6 months after the bleb needling operation. Results: In the 165 eyes, 133 eyes (80.6%) achieved success, and 32 eyes (19.4%) failed. In the 97 eyes with primary glaucoma, 11 eyes (11.3%) failed. In the 16 eyes with traumatic secondary glaucoma, 5 eyes (31.3%) failed. In the 17 eyes with secondary glaucoma associated with posterior segments operations, 7 eyes (41.2%) failed. In the 23 eyes with trabeculectomy with cataract surgery, 4 eyes (17.4%) failed. In the 12 eyes with more than once trabeculectomy surgery, 5 eyes (41.7%) failed. Conclusions: The success rate of posttrabeculectomy bleb needling is associated with the type of glaucoma. The success rate of bleb needling in patients with primary glaucoma is higher than that in secondary glaucoma eyes or eyes with more than once anti-glau- coma surgery.
文章引用: 夏翠然 (2015) 小梁切除术后滤过泡针拨失败危险因素分析。 眼科学， 4， 52-56. doi: 10.12677/HJO.2015.43010
 翟洪, 刘援, 耿新洁, 等 (2000) 针刺分离术联合丝裂霉素C球结膜下注射治疗包裹性囊状滤过泡. 眼外伤职业眼病杂志, 22, 191.
 Ophir, A. and Ticho, U. (1992) Delayed filtering bleb encapsulation. Ophthalmic Surgery, 23, 38-39.
 Shin, D.H. (1993) Needling revision of failed filtering blebs with adjunctive 5-fluorouracil. Ophthalmic Surgery, 24, 279.
 陈芳, 胡超雄, 帅少帅, 等 (2012) 难治性青光眼早期功能不良滤过泡处理的临床观察. 国际眼科杂志, 12, 2355-2357.
Maestrini, H.A., Cronemberger, S., Matoso, H.D., Reis, J.R.C., Mérula, R.V., Diniz, A.F., et al. (2011) Late needling of flat filtering blebs with adjunctive mitomycin C: Efficacy and safety for the corneal endothelium. Opthalmology, 118, 755-762.
Kapasi, M.S. and Birt, C.M. (2009) The efficacy of 5-fluorouracil bleb needling performed 1 year or more posttrabeculectomy: A retrospective study. Journal of Glaucoma, 18, 144-148.