微创青光眼手术新进展

doi:10.13281/j.cnki.issn.1004-4469.2014.01.016

眼科 ›› 2014, Vol. 23 ›› Issue (1): 64-68.doi: 10.13281/j.cnki.issn.1004-4469.2014.01.016

微创青光眼手术新进展

陈霄雅王怀洲王宁利

221002 江苏省徐州市第一人民医院眼科（陈霄雅）； 100005首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科研究所北京市眼科学与视觉科学重点实验室（陈霄雅、王怀洲、王宁利）

收稿日期:2014-01-07 出版日期:2014-01-25 发布日期:2014-01-22
通讯作者: 王宁利，Email：wningli@vip.163.com

Update in micro-invasive glaucoma surgery

CHEN Xiao-Ya, WANG Huai-Zhou, WANG Ning-Li

CHEN Xiao-ya1, 2, WANG huai-zhou2, WANG ning-li2. 1. Department of Ophthalmology, The First People's Hospital of Xuzhou, Jiangsu 221002, China; 2. Beijing Institute of Ophthalmology; Beijing Ophthalmology & Visual Sciences Key Lab.; Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing 100005, China

Received:2014-01-07 Online:2014-01-25 Published:2014-01-22
Contact: WANG Ning-li, Email: wningli@vip.163.com

摘要/Abstract

摘要： 近年来抗青光眼手术方式不断发展，滤过手术已不再是青光眼手术的唯一选择。微创青光眼手术（Micro-invasive glaucoma surgery，MIGS）有如下特征：内路微小切口、微创、有效降眼压、安全性高、愈合快。MIGS技术按手术定位分两大类：第一类，减少房水经小梁网途径流出阻力，扩展内引流，如小梁网iStent（Glaukos micro-bypass trabecular iStent）、Schlemm管支架（Hydrus Schlemm canal scaffold）、小梁消融术（Ab interno trabeculectomy trabectome）、准分子激光小梁切开术（excimer laser trabeculostomy）；第二类，通过前房与脉络膜上腔的连接装置增加葡萄膜巩膜通路引流，如Cypass 引流器（Cypass suprachoroidal micristent）等。本文对近年报道的上述手术方式的优缺点及适应证进行简单综述。（眼科，2014，23：64-68）

关键词: 青光眼/外科学, 微创青光眼手术

Abstract: The surgical treatment for glaucoma has undergone various modifications in recent years. Filtration surgery is not the only choice for glaucoma. The term micro-invasive glaucoma surgery (MIGS) is defined as procedures that share the following features: ab interno microincision, minimal trauma, efficacy, high safety profile, and rapid recovery. The definition of MIGS mainly includes two anatomical categories. The first is Schlemm’s canal, by improving trabecular outflow (Glaukos micro-bypass trabecular iStent, Hydrus Schlemm canal scaffold, Ab interno trabeculectomy trabectome, excimer laser trabeculostomy). The second is the suprachoroidal space, by improving the uveoscleral outflow through a connection between the anterior chamber and the suprachoroid (Cypass suprachoroidal micristent). This article will review the published literature and summarize clinically relevant information about above novel or emerging surgical techniques for the treatment of open-angle glaucoma and to describe indications, advantages and disadvantages of the devices and procedures. (Ophthalmol CHN, 2014, 23: 64-68)

Key words: glaucoma/surgery, micro-invasive glaucoma surgery

陈霄雅, 王怀洲, 王宁利. 微创青光眼手术新进展[J]. 眼科, 2014, 23(1): 64-68.

CHEN Xiao-Ya, WANG Huai-Zhou, WANG Ning-Li. Update in micro-invasive glaucoma surgery[J]. Ophthalmology in China, 2014, 23(1): 64-68.

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微创青光眼手术新进展

Update in micro-invasive glaucoma surgery

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