摘要
滤过性手术特别是小梁切除术是抗青光眼手术中最常用的方式,但仍存在术后滤过泡并发症以及眼表功能异常等情况。通过各种新型的Schlemm管手术,用"无滤过泡"的青光眼手术替代外滤过手术治疗青光眼,不再建立眼外的滤过通道,而是通过恢复或增加生理性房水流出通道,达到既能降低眼压又能消除滤过泡相关并发症的目的。
Filtration surgeries, especially trabeculectomy, are the most common surgeries for glaucoma. Although trabeculectomy has excellent efficacy for reducing intraocular pressure （lOP）, glaucoma filtering blebs have been frequently associated with various postoperative complications including filtering bleb failure and ocular surface dysfunctions. Surgical treatments of the natural aqueous outflow system, in and around Schlemm＇s canal, to restore normal function without penetration of the intraocular space has been considerable interest in recent years as glaucoma surgeons continue their quest for a procedure that reduces lOP without the risk related with filtering bleb. As a result, more blebless glaucoma surgeries have developed gradually in the past years.
出处
《眼科》
CAS
2009年第3期212-216,共5页
Ophthalmology in China
