注重儿童抗青光眼手术方式及适应证的选择

Emphasis on valid surgical indication for childhood glaucoma

儿童青光眼致盲率高,手术难度大,手术成功率低,对家庭和社会造成沉重负担。目前对于儿童抗青光眼手术方式的选择尚无统一的标准和共识。房角手术和小梁切开术,尤其微导管引导的全周小梁切开术,对儿童青光眼均具有良好的治疗效果。本文通过分析目前临床儿童抗青光眼手术存在的问题及其原因,强调统一儿童抗青光眼手术适应证和手术方式的必要性,提出应制定共识,推广普及新手术新技术,提高儿童青光眼的手术成功率。

The childhood glaucoma presents high blindness and requires high quality of surgical treatment,laying heavy burdens on patients' families and the society.So far,there is no widely accepted standard and consensus on the surgical treatment for childhood glaucoma.Angle surgery and trabeculotomy,especially microcatheter-assisted circumferential trabeculotomy,have a good therapeutic effect on childhood glaucoma.Established consensus and popularization of the new surgery can significantly improve the success rate of treatment for childhood glaucoma.