眼科

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以光纤微导管为工具的青光眼微创手术

辛晨  石砚  王怀洲  王宁利   

  1. 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 眼科学与视觉科学北京市重点研究室
  • 收稿日期:2019-03-01 出版日期:2019-03-25 发布日期:2019-03-28
  • 通讯作者: 王宁利,Email:wningli@vip.163.com
  • 基金资助:

    国家自然科学基金(81730027)

Microcatheter based minimal invasive glaucoma surgery

XIN Chen, SHI Yan, WANG Huai-zhou, WANG Ning-li   

  1. Beijing Tongren Eye Center, Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Capital Medical University, Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing 100005, China
  • Received:2019-03-01 Online:2019-03-25 Published:2019-03-28
  • Contact: WANG Ning-li, Email: wningli@vip.163.com

摘要:

以光纤微导管为工具的青光眼微创手术包括小梁网张力增强性手术、小梁网开窗手术及小梁网全周切开手术。这些手术可解除近端房水外流通路障碍,不适用于目标眼压需低于上巩膜静脉压和房水外流阻力增高主要位于远端通路的患者。前房积血、一过性高眼压和睫状体脱离是该类手术最常见的并发症。(眼科,2019, 28: 85-87)

关键词:  , 青光眼微创手术

Abstract:

The microcatheter based minimal invasive glaucoma surgery (MIGS) procedures could be classified into three types: trabecular tension surgery, trabecular bypass surgery and trabecular ablation surgery. Such procedures effectively reduce the resistance of aqueous outflow in proximal pathway. Thus, the patients with primary open angle glaucoma (POAG) whose target intraocular pressure (IOP) is lower than the pressure of the episcleral vein is not ideal for the microcathether based MIGS procedures. Neither was the POAG subjects with high resistance in the distal aqueous pathway. The hyphema, postoperative IOP spike and ciliary body detachment are main complications for such surgical procedures. (Ophthalmol CHN,2019, 28: 85-87)

Key words:  , minimal invasive glaucoma surgery