纤维蛋白胶封闭早期滤过泡漏1例

摘要

A 63-year-old male presented with sudden diminution of vision, eye discomfort, redness and watering in his left eye. He had undergone glaucoma valve filtering surgery for refractive secondary glaucoma one week back. He also had a history of failed augmented trabeculectomy one year earlier in the same eye. Ocular examination showed best corrected visual acuity(BCVA) of 6/18 and there was a bleb leak, shallow anterior chamber and intraocular pression(IOP) of 6mmHg. Successful sealing of bleb leak was performed using fibrin glue resulted in deepening of anterior chamber with IOP of 13mmHg. This case demonstrates that, fibrin glue is an effective method for management of early filtering bleb leak.%患者,男,63岁,以"左眼突发视力下降,眼部不适,眼红,流泪"主诉就诊.1wk前因继发性青光眼行青光眼阀植入术.同一眼1a前曾行扩大的小梁切除术,手术失效.眼科检查结果:最佳矫正视力为6/18,有滤过泡漏,前房浅,眼压6mmHg.应用纤维蛋白胶成功封闭滤过泡漏,前房加深,眼压升至13mmHg.此病例说明纤维蛋白胶是治疗早期滤过泡漏的有效方法.