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polo outlet online 0225-- fluorouracil combined wi

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0225-- fluorouracil combined with amniotic membrane transplantation in refractory glaucoma surgery

laucoma. [Keywords] 5-Fluorouracil; Amniotic; Membrane; RefractoryGlaucoma trabeculectomy is the conventional treatment of various types of glaucoma surgery, but the management of refractory blue salt water, re-use of water for 30 minutes. Light eye, such as: neovascular glaucoma, aphakic glaucoma and intraocular lens implantation,moncler pas cher, 2.3 procedures; to do with the basement fornix conjunctival flap, flap high-8mm, the Baptist uveal inflammatory glaucoma, congenital glaucoma, the filter over the failure of glaucoma surgery and other wet concentration of lOmg / ml of 5-Fu of the small piece of cotton placed in the conjunctival flap and pre-made scleral flap, with its filtration surgery success rate of 11% to 15%, so this type of glaucoma have been between the location, place 5 minutes after taking m, repeatedly washed with saline planing surface. Clinical practice of ophthalmology in one of the most difficult problems. The main reason is the failure to filter and then do the basement of the limbal scleral flap 4 × 4mm, thickness of 1 / 2 thick over the surgical site of the scleral fibroblast cell hyperplasia, collagen deposition, scarring of the filtration area, degree, according to conventional Cut trabeculectomy trabecular tissue (2X3mm). Has been difficult to get re-establishment of an effective water filtration channel which led to the failure of filtration surgery. In recent years greater than for amniotic cut into approximately the shape of the scleral flap placed under the scleral flap, the leather close to the scar of the filtration Gong issue, the majority of the clinical use of antimetabolites such as 5-fluorouracil-ethyl film bed, scleral flap base 2 needle stitching at both ends with amniotic membrane, amniotic membrane and free scleral off with pyridine (5-Fu), mitomycin C and interferon, and so on, but the lack of postoperative prone conjunctival suture needle bed,polo outlet online, close to the off position to ask conjunctival sutures flap. Surgery subconjunctival injection celebrate big mouth leak, shallow anterior chamber, persistent hypotony and other complications. To minimize the 5-Fu amphotericin 20,000 U, dexamethasone 2.5mg, eye bag cream mercury cyanide oxide. Patients given anti-side-effects, we refractory glaucoma filtration surgery in the use of 5-Fu combined sheep antibiotics to prevent infection. Membrane transplantation, results were satisfactory. Are reported as follows: 2.4 Clinical criteria: by Kim and Lim determine the success rate of filtration surgery. (1) l data and is completely successful: IOP at 6 ~ 2lmmHg, without anti-glaucoma drugs; (2) 1.1 General Information: Select from February 2002 to December 2003 in the success of my inpatient conditions: IOP at 6 ~ 2lmmHg, plus anti-glaucoma drugs; (3) of the 29 patients with refractory glaucoma (29 eyes), including 11 males and 18 females, failure: postoperative IOP less than 6mmHg who , or intraocular pressure lowering drugs still higher than the age of 6 to 78 years, mean 41.9 years. Types of glaucoma: glaucoma surgery 2lmmHg who required reoperation. 10 cases of congenital glaucoma in 2 cases, 3 cases of uveal inflammatory glaucoma, neovascular 2.5 Follow-up: Patients were followed up for 6 months to 18 months, an average of 10 months follow-up period of glaucoma in 3 cases, extracapsular cataract extraction postoperative secondary glaucoma in 1 case. Regular eye visual acuity before surgery, filtering bleb (appearance, leaks), complications of intraocular pressure and pressure of 28.9 ~ 63mmHg, mean IOP (34.08 ~ 2.34) mmHg. Are used (the cornea, shallow anterior chamber, macular degeneration). Brother Friedman tonometer. 2 Results 2.2 The production and preservation of amniotic membrane: Select non-infectious diseases (excluding maternal serum containing 2.1 success rate: The total success rate of surgery in 26 patients (89.7%), which completely as HIV,ugg slovenia, HBV, HCV and syphilis) in healthy pregnant women the placenta obtained caesarean section, the tire features 21 (72.4%),botas ugg, conditions are successful in 5 eyes (17.2%), failure in 3 cases (10.3%). Plate with a sterile saline rinse, the gap through the amniotic membrane potential between 2.2 vision for blunt: after 18 (62.1%) visual acuity improved by 2 lines, 7 (24.1%) of separation for amniotic membrane, the amnion cut 2 × 3cm size, then with gentamicin visual acuity improved 1 line or the same, four (13.8%) decreased vision. (1 / 2000) of sterile saline soak for 12 hours,moncler jacken, placed in bottles containing 95% glycerol, 2.3 bleb: Reference Kronfeld type the bleb divided into three types, I-type (sealed into 4 micro- ~ C refrigerator. storage time within a month using a small capsule from the bottle type) and II (diffuse flat type) for the functional bleb, III (No filter removed, washed with sterile saline then soak into the 4000U/ml gentamicin birth foam or bubble wrap type of filtration) for the failure of the bleb. After two weeks there are Mi
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