放射状视神经切开术治疗视网膜中央静脉阻塞的研究现状

Current status of radial optic neurotomy in the treatment of central retinal vein occlusion

对视网膜中央静脉阻塞的治疗较为棘手,目前尚缺少有效疗法。近年来,放射状视神经切开术的临床疗效已引起眼科医师的关注,尽管尚未被眼科临床广泛采用,但部分患者经该手术治疗后眼底情况明显改善确是事实,因此,有必要就放射状视神经切开术的病例选择标准、手术操作方法、使用刀具、临床效果及治疗机制等方面进行综述,旨在提高该手术的临床疗效。(中华眼科杂志,2005,41:1053-1056)

There is no definitely proven effective managements of central retinal vein occlusion to date. Much attention has been paied for radial optic neurotomy, although it is not accepted widely as a regular surgery, the improvement of fundus appearance was observed in some cases after surgery indeed. In this paper, we reviewed the case selective criterion, surgery method, surgery lancet, effectness and possible mechanism of this surgery.