先天性白内障摘除手术后青光眼的研究进展

Research updates on glaucoma after congenital cataract surgery

青光眼是先天性白内障摘除手术后最常见的并发症之一,也是影响患儿远期视力提高的重要原因.近年来随着研究的不断深入,先天性白内障摘除手术后青光眼的诊断标准日趋完善,眼压的测量和随访也更加准确和规范,对危险因素的认识更加全面,治疗方法也趋于多样化和更加有效.本文就先天性白内障摘除手术后青光眼的诊断标准、眼压测量与随访、危险因素、治疗以及预后进行综述,以期为临床工作和科研提供参考.

Postoperative glaucoma is one of the most common complications after congenital cataract surgery and an important cause of unsatisfactory long-term visual acuity rehabilitation. Recently, the diagnostic criteria of glaucoma after congenital cataract surgery have been gradually complemented; the measurement of intraocular pressure is improved and the follow-up is standardized. The risk factors of glaucoma after congenital cataract surgery include age at surgery, ocular abnormalities and central corneal thickness, some of which still remain controversial. The main treatment of postoperative glaucoma is surgery, while some patients need adjuvant medications in addition to surgery.