{"created":"2023-06-19T11:24:31.451689+00:00","id":5257,"links":{},"metadata":{"_buckets":{"deposit":"86aa85a2-edc5-4382-a84f-0d85a9c51db2"},"_deposit":{"created_by":1,"id":"5257","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"5257"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00005257","sets":["7","7:24"]},"author_link":["16450","16448","16447","16449","16446"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3","bibliographicPageEnd":"301","bibliographicPageStart":"297","bibliographicVolumeNumber":"5","bibliographic_titles":[{"bibliographic_title":"Case reports in ophthalmology"}]}]},"item_5_description_28":{"attribute_name":"識別番号 その他","attribute_value_mlt":[{"subitem_description":"PMID:25408669","subitem_description_type":"Other"}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"PURPOSE:\n\\nTo report a case of autologous transplantation of a free Tenon's graft to repair excessive bleb leakage after trabeculectomy.\nCASE REPORT:\n\\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.\nCONCLUSIONS:\n\\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.","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"オープンアクセス\nCC-BY-NC","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_relation_24":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1159/000368159","subitem_relation_type_select":"DOI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1663-2699","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"25408669"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"719"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"839"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Kawai, Motofumi"},{"subitem_text_value":"Nakabayashi, Seigo"},{"subitem_text_value":"Shimizu, Kosuke"},{"subitem_text_value":"Hanada, Kazuomi"},{"subitem_text_value":"Yoshida, Akitoshi"}]},"item_5_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"川井, 基史"},{"creatorName":"カワイ, モトフミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"16446","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"中林, 征吾"},{"creatorName":"ナカバヤシ, セイゴ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"16447","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"清水, 恒輔"},{"creatorName":"シミズ, コウスケ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"16448","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"花田, 一臣"},{"creatorName":"ハナダ, カズオミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"16449","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"吉田, 晃敏"},{"creatorName":"ヨシダ, アキトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"16450","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-07-06"}],"displaytype":"detail","filename":"6188.pdf","filesize":[{"value":"729.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"6188.pdf","url":"https://asahikawa-med.repo.nii.ac.jp/record/5257/files/6188.pdf"},"version_id":"6cd135f7-3dd0-4e3f-98d6-fccce1bae3ee"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Autologous Tenon's graft","subitem_subject_scheme":"Other"},{"subitem_subject":"Bleb leak","subitem_subject_scheme":"Other"},{"subitem_subject":"Hypotony","subitem_subject_scheme":"Other"},{"subitem_subject":"Trabeculectomy","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Autologous Transplantation of a Free Tenon's Graft for Repairing Excessive Bleb Leakage after Trabeculectomy: A Case Report.","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Autologous Transplantation of a Free Tenon's Graft for Repairing Excessive Bleb Leakage after Trabeculectomy: A Case Report."}]},"item_type_id":"5","owner":"1","path":["6","7","24"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-09-01"},"publish_date":"2015-09-01","publish_status":"0","recid":"5257","relation_version_is_last":true,"title":["Autologous Transplantation of a Free Tenon's Graft for Repairing Excessive Bleb Leakage after Trabeculectomy: A Case Report."],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-06-19T12:25:59.373444+00:00"}