睫状体分泌功能减弱性手术在青光眼治疗中的进展

Progress of cyclodestructive surgeries for treating glaucoma

睫状体分泌功能减弱性手术是通过各种方式破坏睫状体来减少房水生成从而达到降低眼压、治疗青光眼的目的。既往由于睫状体分泌功能减弱性手术的并发症较多且比较严重,加之不可预测的剂量-效应关系,被认为是降低眼压、控制青光眼的最后手段。随着医疗技术的发展,睫状体分泌功能减弱性手术有了较大的改进,其并发症明显减少且较轻微,成为抗青光眼手术史的一大进步。论文主要介绍睫状体透热术、睫状体冷冻术、睫状体光凝术、睫状体光动力疗法、高强度聚焦超声睫状体成形术等多种睫状体分泌功能减弱性手术各自的特点及在青光眼治疗中的应用和进展。

Cyclodestruction is a kind of anti-glaucoma surgery that reduces intraocular pressure by damaging ciliary body to supress aqueous humor production in various ways,including cyclodiathermy,cyclocryotherapy,cyclophotocoagulation,photodynamic therapy of the ciliary body,and high-intensity focused ultrasound cycloplasty.In the past,it was considered as the last means to treat glaucoma and reduce intraocular pressure because of it?s severe and serious complications and an unpredictable dose-effect relationship.With the development of medical technology,cyclodestructive surgeries have been greatly improved,intraocular pressure reduction become more effective,and the complications are significantly reduced and mild.It is a great progress in the history of anti-glaucoma surgery.This article introduces the characteristics,application,and progress of each type of cyclodestructive surgries.