国际眼科纵览

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Schlemm管成形术研究进展

胡城  梁远波   

  1. 325000浙江省温州市,温州医科大学附属眼视光医院
  • 收稿日期:2015-06-16 出版日期:2015-10-22 发布日期:2015-10-27
  • 通讯作者: 梁远波 E-mail:yuanboliang@126.com

The research progress and prospect of canaloplasty

HU Cheng, LIANG Yuan-bo.   

  1. Ophthalmology and Optometry Hospital, Wenzhou Medical University, Wenzhou 325000, China
  • Received:2015-06-16 Online:2015-10-22 Published:2015-10-27
  • Contact: LIANG Yuan-bo E-mail:yuanboliang@126.com

摘要:

Schlemm管成形术(canaloplasty)作为一种新的非穿透性手术越来越引起人们的重视,它通过扩张Schlemm管重建自然房水外流通道以加强房水外流,从而达到降低眼压的目的。Schlemm管成形术手术成功率在原发性开角型青光眼与小梁切除术类似。其优点包括:降眼压作用是非滤过泡依赖性的,术中不需要使用抗代谢药物,因而与滤过泡相关的并发症极低。但这项新技术大范围应用于临床仍有很长的路要走。(国际眼科纵览,2015,39:341.345)

Abstract:

As a non-penetrating glaucoma surgery (NPGS),canaloplasty has aroused a growing number of attention, which aims to restore the physiological outflow by dilating the Schlemm’s canal, thus facilitating aqueous outflow to treat glaucoma. The success rate of canaloplasty is equal to trabeculectomy in primary open angle glaucoma. The surgery shows lots of advantages: the effect of intraocular pressure\|reducing is non\|bleb related, no filtering blebs were detected, no antimetabolites were required during surgery, thus leading a low rate of bleb-related complications. However there is a long way to apply the new technical in clinic.(Int Rev Ophthalmol,2015,39:341.345)