眼科 ›› 2015, Vol. 24 ›› Issue (3): 214-216.doi: 10.13281/j.cnki.issn.1004-4469.2015.03.021

• 青光眼防治公益专栏 • 上一篇    

难治性青光眼的治疗策略

张秀兰 王家伟   

  1. 510060广州,中山大学中山眼科中心 眼科学国家重点实验室

  • 收稿日期:2015-04-29 出版日期:2015-05-25 发布日期:2015-06-04
  • 通讯作者: 张秀兰,Email:xiulan_z@qq.com E-mail:xiulan_z@qq.com

Treatment strategies for refractory glaucoma

ZHANG Xiu-lan, WANG Jia-wei   

  1. Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou 510060, China
  • Received:2015-04-29 Online:2015-05-25 Published:2015-06-04
  • Contact: ZHANG Xiu-lan, Email:xiulan_z@qq.com E-mail:xiulan_z@qq.com

摘要: 难治性青光眼是一组临床上治疗非常棘手的疾病,涉及的病因复杂,可供选择的手术方式众多,各有利弊,但远期疗效仍不尽人意。联合抗代谢药物的小梁切除术、青光眼引流阀植入术、睫状体光凝术等是难治性青光眼常用的手术方式,而青光眼引流阀植入术是目前公认的难治性青光眼的首选手术方式。建议把握好适应证,分析疾病类型和病因,评估视力和眼部状况,制订科学而合理的个体化治疗方案;术后积极、有效处理各种并发症,将有助于提高手术成功率。

关键词: text-indent: 0px, display: inline !important, font: medium Simsun, white-space: normal, float: none, letter-spacing: normal, color: rgb(0,0,0), word-spacing: 0px, -webkit-text-stroke-width: 0px">难治性青光眼/治疗

Abstract: Refractory glaucoma is a group disorders with various types of glaucoma associated with very poor prognosis. Even though it has different surgical procedures with advantages and disadvantages to manage, however, the long-term outcome was still frustrating. Trabeculectomy with anti-metabolic agents, glaucoma drainage device implantation, and cyclophotocoagulation are the common surgical procedures for refractory glaucoma. So far, glaucoma drainage device implantation is regarded as the first-line choice. Individualized treatment strategiesare recommended according to surgical indication, cause and type of glaucoma, visual function, and ocular regional conditions. To improve surgical outcomes, promptly and appreciated managements of complications are also warranted.

Key words: text-indent: 0px, font: medium Simsun, white-space: normal, letter-spacing: normal, color: rgb(0,0,0), word-spacing: 0px, -webkit-text-stroke-width: 0px" id="x-448-anchor" name="x-448-anchor">  

refractory glaucoma/therapy