青光眼手术技术的进展

New advances of glaucoma surgical techniques

手术是治疗青光眼的主要方法,为了减少术后并发症,提高手术效果,近年来出现了多种新型的手术方式。减少房水生成的手术已从传统的经巩膜睫状体光凝术改进到内窥镜下激光睫状体光凝术。就外引流手术而言,代表性的手术是传统的小梁切除术,近来出现了诸如Ex-Press微型引流钉植入术,Fugo刀经睫状体滤过术等新型手术。而内引流手术包括准分子激光小梁切开术、iStent植入术、内路小梁切开术、Schlemm管成形术以及金质微型引流器植入术。现将青光眼手术治疗进展做一综述。

·Surgery is the most important management for glaucoma patients, and in order to reduce complications and increase the surgical effect, there are some new surgical manners appearing continuously. Aqueous reduction surgery has devetoped from transscleral cyclophotocoagulation to an endoscopic cyclophotocoagulation. Regarding the external filtering surgery approach, traditionally represented by trabeculectomy, there is the evolution of newer procedures, such as those using Ex-Press mini-shunts and Fugo blade transciliary filtration. Internal filtering surgery includes excimer laser trabeculotomy, the use of iStents or the Trabectome procedure, canaloplasty, and gold shunt implantation. We critically review recent advances in glaucoma surgery.