先天性青光眼的手术治疗进展

Surgical treatment of congenital glaucoma

先天性青光眼是一类严重影响儿童视功能的疾病.与成人青光眼不同,药物治疗仅能作为辅助治疗方法,抗青光眼手术作为其主要有效治疗方法应尽早实施.先天性青光眼的手术方式较多,近年来随着技术的不断发展,小梁切开仪的临床应用、360.小梁缝线切开术等创新的手术方式逐渐被应用于先天性青光眼的治疗,并取得了较好的疗效.同时,随着内镜技术在眼内的应用逐渐成熟,内镜辅助下进行的前房角切开术及睫状体光凝术,突破了传统手术方式的限制,扩大了经典手术方式的适用范围.本文主要对先天性青光眼的不同手术方式及最新进展进行综述.

Congenital glaucoma is a type of disease which may seriously affect children＇s visual function.Different from adult glaucoma,medical therapy has a limited role and surgery remains the primary therapy.There are several types of surgical treatments for different patient.With the development of technology,more innovation surgeries,such as TrabectomeTM and 360-degree suture trabeculotomy,are used in the treatment of congenital glaucoma with good result.At the same time,endoscopic technique is used in classical surgeries to break through their original limitations.This paper reviews the surgical treatments,their indications and latest developments.