眼科 ›› 2025, Vol. 34 ›› Issue (1): 1-5.doi: 10.13281/j.cnki.issn.1004-4469.2025.01.001

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青光眼微创手术的机遇、挑战与展望

辛晨   

  1. 首都医科大学附属北京同仁医院 北京同仁眼科中心 眼科学与视觉科学北京市重点实验室,北京 100730
  • 收稿日期:2024-11-20 出版日期:2025-01-25 发布日期:2025-01-17
  • 通讯作者: Email: xinchen1981@sina.com E-mail:xinchen1981@sina.com
  • 基金资助:
    国家重点研发计划(2022YFE0132500)

Opportunities, challenges and prospects of minimally invasive glaucoma surgery

Xin Chen   

  1. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University; Beijing Key Laboratory of Ophthalmology and Visual Science, Beijing 100730, China
  • Received:2024-11-20 Online:2025-01-25 Published:2025-01-17
  • Contact: Email: xinchen1981@sina.com E-mail:xinchen1981@sina.com
  • Supported by:
    National Key Research and Development Program (2022YEF0132500)

摘要: 青光眼微创手术以其良好的降眼压效果,手术创伤小,操作简单,并发症少,随诊护理简便的优势迅速获得医生的认可和推广,但伴随而来的新问题如手术分类标准不一、适应证选择无迹可寻、眼压反跳等,促使临床医生和研究者再次聚焦房水引流通路,使青光眼治疗在理论突破与技术创新互动统一中迈入新纪元。 (眼科,2025, 34: 1-5)

关键词: 青光眼微创手术, 小梁网泵, Schlemm管

Abstract: Minimally invasive glaucoma surgery (MIGS) has quickly gained recognition and promotion among glaucoma specialists due to its effective intraocular pressure reduction, minimal surgical trauma, simple operation, fewer complications, and easy follow-up care. The new challengeshave arisen, such as inconsistent surgical classification, unclear criteria for MIGS selection and theintraocular pressure spike,which prompted clinicians and researchers to refocus on the aqueous humor drainage pathways, ushering glaucoma treatment into a new era characterized by the interaction and unity of theoretical breakthroughs and technological innovations. (Ophthalmol CHN, 2025, 34: 1-5)

Key words: minimally invasive glaucoma surgery, trabecular meshwork pumping, Schlemm’s canal