![[Translate to chinese:] Dr. Sheybani places the new subconjunctival stent in the anterior chamber. Images courtesy of Arsham Sheybani, MD. Subconjunctival_stent_in_the_anterior_chamber.jpg](/fileadmin/_processed_/f/e/csm_Subconjunctival_stent_in_the_anterior_chamber_5c540eaef5.jpg "[Translate to chinese:] Dr. Sheybani places the new subconjunctival stent in the anterior chamber. Images courtesy of Arsham Sheybani, MD.")
病例描述
一名 64 岁的女性曾做过结膜下支架手术，但失败了，腱膜纤维化。对侧眼因导管分流术造成眼压过低，出现手指视力下降。失败的结膜下支架之前是通过外部途径进行结膜剥离的。
结膜下支架失败后，患者拒绝接受包括二极管 CPC 在内的进一步干预。她只接受了修复手术。
术前评估
术前眼压非常高，右眼眼压为 31 毫米汞柱。为了降低结膜下出血的风险，患者开始口服乙酰唑胺。外科医生在使用二氟泼尼酯进行预处理后，还在一周内对滤过泡进行了修整。
手术计划是对旧的结膜下支架进行修补，如果没有血流，则放置一个新的支架，并利用术中闭合伤口时的 OCT 来确定植入物是否有榫头。
![[Translate to chinese:] Examination of old subconjunctival stent after peritomy revealed surrounding Tenon's tissue. Image courtesy of Arsham Sheybani, MD, Washington University School of Medicine.](/fileadmin/_processed_/1/c/csm_Examination_of_old_subconjunctival_stent_after_peritomy_revealed_surrounding_Tenon_s_tissue_73d4aeb451.jpg "[Translate to chinese:] Examination of old subconjunctival stent after peritomy revealed surrounding Tenon's tissue. Image courtesy of Arsham Sheybani, MD, Washington University School of Medicine.")
![[Translate to chinese:] How the M822 microscope enhances surgical precision in eye surgeries - Insights from Dr. Dhami. Image courtesy of Dr. Abhinav Dhami.](/fileadmin/_processed_/d/3/csm_Dr_Abhinav_Dhami_with_M822_a3b1e0009e.jpg "[Translate to chinese:] How the M822 microscope enhances surgical precision in eye surgeries - Insights from Dr. Dhami. Image courtesy of Dr. Abhinav Dhami.")
