|
KMID : 1151620160010020097
|
|
Journal of Retina
2016 Volume.1 No. 2 p.97 ~ p.100
|
|
|
Temporal Approach Vitrectomy in Patients with Superonasal Scleral Laceration or Trabeculectomy Bleb: Report of Three Cases
|
|
Kim Jong-Ho
Shin Yong-Tae
Park Dong-Ho
Kim In-Taek
Shin Jae-Pil
|
|
|
Abstract
|
|
|
Purpose: To report three cases of temporal approach vitrectomy in patients with superonasal scleral laceration or trabeculectomy bleb.
Case summary: (Case 1) A 30-year-old male experienced superonasal full-thickness scleral laceration of the left eye. Primary suturing of the scleral laceration was performed. Because of sustained vitreous hemorrhage, after 9 days, temporal approach vitrectomy was performed with superotemporal, inferotemporal, and inferonasal sclerotomy to avoid a superonasal scleral wound. After 6 months, his best corrected visual acuity (BCVA) was hand motion, and the retina was attached well. (Case 2) A 64-year-old female reported with superonasal scleral laceration and vitreous hemorrhage of her right eye. Primary suturing of the scleral laceration was conducted, and after 8 days, temporal approach vitrectomy was performed. At 6 months later, the BCVA of her right eye was light perception, and the retina was attached well. (Case 3) A 58-year-old male visited our clinic with visual disturbance of his right eye. He had undergone trabeculectomy surgery on the superonasal side of his right eye because of the neovascular glaucoma at another hospital 1 year previous. He experienced vitreous hemorrhage, and we performed temporal approach vitrectomy to avoid superonasal filtering bleb. At 1 year later, the BCVA of his right eye was 0.5, and the filtering bleb was functioning well. The fundus examination revealed stable diabetic retinopathy.
Conclusions: Temporal approach vitrectomy can be useful in patients with superonasal scleral wound or filtering bleb.
|
|
|
KEYWORD
|
|
|
Bleb, Scleral laceration, Small-gauge vitrectomy, Temporal vitrectomy, Trabeculectomy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|