생분해성 콜라겐 기질을 이용한 섬유주절제술 2예

• 영문명: Trabeculectomy With Biodegradable Collagen Material: A Report of Two Cases
• 발행기관: 대한안과학회
• 저자명: 홍소진 이종락 최진영 최재완 김연덕,Sojin Hong, MD, Jong Rak Lee, MD, Jin Young Choi, MD, Jaewan Choi, MD, PhD, Yeon-Deok Kim, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number6, 912~918쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.06.15

영문 초록

Purpose: To report two cases of trabeculectomy with biodegradable collagen material conducted on two post-vitrectomy patients. Case summary: The first patient was a 43-year-old woman with uncontrolled increased intraocular pressure (IOP) after pars plana vitrectomy with scleral buckling for diabetic retinopathy and vitreous hemorrhage. Another patient, a 28-year-old woman with aphakia, also had uncontrolled increased IOP after pars plana vitrectomy with encircling scleral buckling for retinal detachment. For both of these patients, we performed trabeculectomy using mitomycin C and recently developed biodegradable collagen matrix. In the first case, the IOP was increased three months after the surgery, for which needling was done. After needling, the IOP was well controlled in the range of 16 to 19 mmHg up to eight months postoperatively with stilling anti-glaucomatous eyedrops (CosoptⓇ, XalatanⓇ). In the second case, IOPwas increased one week after the surgery, but it was well controlled between 14 to 21 mmHg up to nine months postoperatively with anti-glaucomatous eye drops (CombiganⓇ). Conclusions: Biodegradable collagen matrix can possibly reduce the surgical failure of trabeculectomy and it is especially suitable for high risk patients when combined with anti-metabolic agents like MMC. J Korean Ophthalmol Soc 2010;51(6):912-918

키워드

Adjuvant therapy, Biodegradable, Collagen, Trabeculectomy, Wound healing