| 231 | 1 | 61 |
| 下载次数 | 被引频次 | 阅读次数 |
青光眼患者眼压升高,视神经血供不足,视网膜神经节细胞轴突进行性丧失,可能导致患者视野缺损。当保守治疗效果不佳时,眼科手术是降低眼内压的有效治疗措施。青光眼引流阀植入术主要用于滤过手术失败、难治性和复杂性青光眼患者,通过建立房水引流通道,显著降低患者眼内压。本文就青光眼引流阀植入术的手术步骤进行详细介绍。
Abstract:Glaucoma patients suffer from increased intraocular pressure, insufficient optic nerve blood supply and progressive loss of retinal ganglion cell axons, which may lead to visual field defects in patients. Ophthalmic surgery is an effective treatment to reduce intraocular pressure when conservative treatment is not effective. Glaucoma drainage valve implantation is mainly used in patients with failed filtration surgery, refractory and complex glaucoma. By establishing aqueous humor drainage channels, intraocular pressure can be significantly reduced. This article introduces the procedure of glaucoma drainage valve implantation in detail.
[1] 中华医学会眼科学分会青光眼学组.我国青光眼引流阀植入手术操作规范专家共识(2016年)[J].中华眼科杂志,2016,52(6):407-409.
[2] Stay M S,Pan T,Brown J D,et al.Thin-film coupled fluid-solid analysis of flow through the Ahmed glaucoma drainage device[J].J Biomech Eng,2005,127(5):776-781.
[3] Pakravan M,Yazdani S,Shahabi C,et al.Superior versus inferior Ahmed glaucoma valve implantation[J].Ophthalmology,2009,116(2):208-213.
[4] Alvarado J A,Hollander D A,Juster R P,et al.Ahmed valve implantation with adjunctive mitomycin C and 5-fluorouracil:long-term outcomes[J].Am J Ophthalmol,2008,146(2):276-284.
[5] 张秀兰.《图解青光眼手术操作与技巧》一书出版[J].临床眼科杂志,2020,28(5):465.
[6] Lim R.The surgical management of glaucoma:a review[J].Clin Exp Ophthalmol,2022,50(2):213-231.
[7] Rao A,Cruz R D.Trabeculectomy:does it have a future?[J].Cureus,2022,14(8):e27834.
[8] Nardi M,Maglionico M N,Posarelli C,et al.Managing ahmed glaucoma valve tube exposure:surgical technique[J].Eur J Ophthalmol,2021,31(2):778-781.
[9] Poelman H J,Wolfs R C W,Ramdas W D.The baerveldt Glaucoma drainage device:efficacy,safety,and place in therapy[J].Clin Ophthalmol,2020,14:2789-2797.
[10] Wong Y L,Walkden A,Mercieca K.Surgical advancement in glaucoma during the past 10 years[J].Ophthalmologie,2022,119(Suppl 2):140-146.
[11] Scheres L M J,Kujovic-Aleksov S,Ramdas W D,et al.XEN? Gel Stent compared to PRESERFLOTM MicroShunt implantation for primary open-angle glaucoma:two-year results[J].Acta Ophthalmol,2021,99(3):e433-e440.
[12] Hu R R,Guo D Y,Hong N,et al.Comparison of Hydrus and iStent microinvasive glaucoma surgery implants in combination with phacoemulsification for treatment of open-angle glaucoma:systematic review and network meta-analysis[J].BMJ Open,2022,12(6):e051496.
[13] Otárola F,Pooley F.Minimally invasive glaucoma surgery (MIGS) devices:risks,benefits and suitability[J].Community Eye Health,2021,34(112):59-60.
[14] 白刚,张贵森,张晓光,等.微创青光眼手术的新进展[J].国际眼科杂志,2019,19(6):945-949.
基本信息:
中图分类号:R779.6
引用信息:
[1]覃勉,梁亮.青光眼引流阀植入术[J].巴楚医学,2023,6(02):4-6.
基金信息:
国家自然科学基金项目(No:81770920)
2021-05-20
2021
2021-07-12
2021-07-12
2021
1
2023-06-30
2023-06-30