抗青光眼手术的利与弊

Pros and cons of glaucoma surgery

青光眼是终生性疾病和不可逆性致盲眼病,即使经过恰当治疗仍不能恢复原有的正常视功能,只能延缓病情进展,而不能将其治愈。目前青光眼的治疗主要包括药物、激光和手术手段,因人而异地将眼压降低,尽量达到每位患者的"目标眼压"。目前常用的抗青光眼手术是小梁切除术,能明显降低眼压,控制眼压波动,成功率较高,但仍存在一定风险和难以预料的手术并发症,医生和患者均需要慎重选择。影响手术效果的因素较多,尤其是难治性青光眼更需要医生积极妥当处理。

Glaucoma is a lifelong disease and irreversible ocular disease causing blindness, which is still not possible to restore the normal visual function even after appropriate treatment. The disease can＇t be cured, just being slowed progression. Nowadays, there are three kinds of treatment of glaucoma, such as drugs, laser, or surgery, to reduce the intraocular pressure （IOP） to vary as much as possible for each patient to achieve the “target IOP.” The commonly used anti-glaucoma surgery is trabeculectomy, which can signifi- cantly reduce IOP peak and fluctuation, with high success rate, but there are still some risks and complications. Doctors and patients should make a decision cautiously. Many factors affect the surgical outcome, so doctors should pay more attention to deal with the glaucoma, especially refractory glaucoma.