第10巻 2014年4月　第2号

■原著

マイトマイシンC併用線維柱帯切除術後の晩期合併症に対する有茎弁結膜被覆術の短期成績
藤田　雅裕, 中元　兼二, 高橋　浩
日本医科大学眼科学

Outcomes of Conjunctival Pedicle Flap for Late-onset Complications Following Trabeculectomy with Mitomycin C
Masahiro Fujita, Kenji Nakamoto and Hiroshi Takahashi
Department of Ophthalmology, Nippon Medical School

We retrospectively analyzed the short-term results (8 weeks) of the use of a conjunctival pedicle flap (CPF) for treating late complications following trabeculectomy with mitomycin C in 10 eyes of 10 patients with glaucoma. The main indications for CPF were bleb leak (8 eyes), overhanging bleb (1 eye), and choroidal detachment (1 eye). In all patients we performed bleb excision and advancement of the adjacent conjunctiva. Eight weeks after CPF transfer, no hypotony, bleb leak, overhanging bleb, or choroidal detachment was observed in any patient. Mean intraocular pressure at all time points after 1 week was significantly higher than before CPF transfer (p<0.01). The intraocular pressure after CPF transfer was higher than 15 mmHg in 7 cases (70%) and higher than 20 mmHg in 4 cases (40%).

日医大医会誌 2014; 10(2), 106-110

Key words
trabeculectomy, late-onset complication, conjunctival pedicle flap, glaucoma, bleb leak

Correspondence to
Masahiro Fujita, Department of Ophthalmology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
E-mail：masa085173@hotmail.co.jp

受付：2014年1月27日　受理：2014年3月3日