国际眼科纵览

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单纯非瞳孔阻滞性闭角型青光眼治疗进展

李敏  金赣英  梁远波  吴海霞   

  1. 325000温州医科大学
  • 收稿日期:2017-06-23 出版日期:2017-10-22 发布日期:2017-10-26
  • 通讯作者: 梁远波,Email:yuanboliang@126.com

A update on the treatment of primary angle-closure glaucoma with non-pupillary block

LI Min, JIN Gan-ying, LIANG Yuan-bo, WU Hai-xia.   

  1. Wenzhou Medical University, Wenzhou 325000, China
  • Received:2017-06-23 Online:2017-10-22 Published:2017-10-26
  • Contact: LIANG Yuan-bo, Email: yuanboliang@126.com

摘要:

原发性闭角型青光眼是我国青光眼的主要类型,单纯非瞳孔阻滞因素作为闭角型青光眼房角关闭机制中的一种,由虹膜、睫状体的形态或位置异常形成,调节因素可能参与其中。基于房角关闭机制可采用不同的治疗策略。应用毛果芸香碱滴眼液,激光虹膜成形术和白内障摘除术可能是治疗非瞳孔阻滞性闭角型青光眼的有效方法,但目前证据并不充分。(国际眼科纵览,2017,41: 317-322)

Abstract:

Primary angle-closure glaucoma (PACG) is the main type of glaucoma in China, the non-pupillary block, as one kind of angle closing mechanism in PACG, is caused by the abnormal morphology and/or location of the iris and/or ciliary body, accommodation factor may be involved. Different treatment strategies can be used based on the Angle closure mechanism. Eye drops of pilocarpine, argon laser peripheraliridoplasty (ALPI) and cataract extraction is likely to be effective for non-pupillary block angle closure glaucoma, but the evidence is not sufficient. (Int Rev Ophthalmol,  2017,  41:   317-322)