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Autologous Transplantation of a Free Tenon's Graft for Repairing Excessive Bleb Leakage after Trabeculectomy: A Case Report.
https://asahikawa-med.repo.nii.ac.jp/records/5257
https://asahikawa-med.repo.nii.ac.jp/records/5257e0a1e6a0-aec3-4432-8e68-7864e2ab08f0
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article_02(1) | |||||
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公開日 | 2015-09-01 | |||||
タイトル | ||||||
タイトル | Autologous Transplantation of a Free Tenon's Graft for Repairing Excessive Bleb Leakage after Trabeculectomy: A Case Report. | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Autologous Tenon's graft | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Bleb leak | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Hypotony | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Trabeculectomy | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
川井, 基史
× 川井, 基史× 中林, 征吾× 清水, 恒輔× 花田, 一臣× 吉田, 晃敏 |
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著者 ローマ字 | ||||||
値 | Kawai, Motofumi | |||||
著者 ローマ字 | ||||||
値 | Nakabayashi, Seigo | |||||
著者 ローマ字 | ||||||
値 | Shimizu, Kosuke | |||||
著者 ローマ字 | ||||||
値 | Hanada, Kazuomi | |||||
著者 ローマ字 | ||||||
値 | Yoshida, Akitoshi | |||||
書誌情報 |
Case reports in ophthalmology 巻 5, 号 3, p. 297-301, 発行日 2014-09-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1663-2699 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1159/000368159 | |||||
識別番号 その他 | ||||||
内容記述タイプ | Other | |||||
内容記述 | PMID:25408669 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | PURPOSE: \nTo report a case of autologous transplantation of a free Tenon's graft to repair excessive bleb leakage after trabeculectomy. CASE REPORT: \nA 39-year-old Japanese woman presented with severe hypotony in her left eye. She had undergone trabeculectomy with mitomycin C 14 years ago. Slit-lamp examination showed an ischemic and ruptured bleb, excessive bleb leakage, and an extremely shallow anterior chamber. A large scleral defect was vaguely observed through the bleb conjunctiva. The hypotony was attributed to excessive bleb leakage. A surgical revision was required. First, the avascular bleb conjunctiva and the melted scleral flap were excised. A scleral defect was observed. Thick fibrotic tissue, i.e., the autologous Tenon's graft, was separated from the underlying sclera, cut to the desired size to cover the defect, and sutured to the sclera with 10-0 nylon sutures. Irrigation with balanced salt solution through the paracentesis confirmed deepening of the anterior chamber with no bleb leakage. In the current case, a layer of amniotic membrane was applied to cover the largely exposed sclera. Two weeks postoperatively, the surgical site was totally re-epi-thelialized with no aqueous leakage. Three months postoperatively, vascularization into the surgical site was observed. The intraocular pressure remained within normal levels without recurrent bleb leakage. CONCLUSIONS: \nAutologous transplantation of a free Tenon's graft successfully repaired excessive bleb leakage through a scleral defect after trabeculectomy. This technique is easier, safer, and may be more cost effective for repairing excessive bleb leakage after trabeculectomy than conventional management techniques. |
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注記 | ||||||
内容記述タイプ | Other | |||||
内容記述 | オープンアクセス CC-BY-NC |
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資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | text | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | application/pdf | |||||
ID(XooNIps) | ||||||
値 | 25408669 | |||||
閲覧数(XooNIps) | ||||||
値 | 719 | |||||
ダウンロード数(XooNIps) | ||||||
値 | 839 |