如何使小梁切除术后眼压更可控

How to make the intraocular pressure after glaucoma filtering surgery more controllable

抗青光眼手术是青光眼治疗的主要方法之一。近年来,抗青光眼手术技术长足发展,微创手术层出不穷,患者及术者对手术预期也日益增高。然而,手术可控性不高导致术后疗效的可预测性不尽如人意。本文针对青光眼房水外引流手术中的小梁切除术,在分析其原理和局限性的基础上,指出手术效果的观察指标及术后眼压的调控方法,以期临床进一步开展相关研究,提高抗青光眼手术的疗效。

Glaucoma surgery is one of the main methods of glaucoma treatment.In recent years,glaucoma surgery has been greatly developed.Minimally invasive surgical procedures for glaucoma have emerged.Patients and surgeons have also increased their expectations of surgery.However,due to the limitation of surgical controllability,the prediction of postoperative efficacy is still not satisfactory.By analyzing the principles and limitations of the existing surgical procedures,the authors put forward the premise of the controllability of glaucoma extrafiltration surgery as that the intraoperative filtration excess can be restricted,so as to effectively avoid the early postoperative complications such as shallow anterior chamber,hypotony and strong inflammation.And within 1 month after surgery,through the filtration of the bubble and the removal of the adjustable suture,the ideal filtration state is gradually achieved.With the controllable maintenance of intraocular pressure at 1 month after surgery,it is possible to effectively predict the intraocular pressure level of 2 years or longer.(Chin J Ophthalmol,2020,56:13-16)