葡萄膜炎继发性青光眼外科治疗的研究进展  

Research advances in surgical management approaches for uveitic glaucoma

作　　者：王杨宁致 胡海涛 姚牧笛 蒋沁[1] 

机构地区：[1]南京医科大学附属眼科医院,江苏省南京市210000 [2]盐城市第一人民医院眼科,江苏省盐城市224000

出　　处：《眼科新进展》2017年第4期396-400,共5页Recent Advances in Ophthalmology

摘　　要：葡萄膜炎继发性青光眼是一种病因复杂、对不同治疗反应不同的疾病,葡萄膜炎继发性青光眼通常伴随高眼压,且较其他类型的青光眼对视神经有更强烈的损害。对此类患者的葡萄膜炎和青光眼都需要早期诊断和治疗。现有的治疗方法主要包括药物治疗和外科治疗。本综述主要概述了包括小梁切除术、激光周边虹膜切除术、非穿透性深层巩膜切除术、青光眼引流植入物、微创青光眼手术在内的葡萄膜炎继发性青光眼的外科治疗技术,讨论了各种常见外科治疗方法的应用以及疗效。Uveitic glaucomas （UG） are complex in cause of disease and response to treatment.UG typically is associated with very high intraocular pressure and more intense optic nerve damage than other glaucoma types.This secondary glaucoma requires an early diagnosis and adequate management of both uveitis and glaucoma.Recently,a multitude of novel medical therapies and surgical techniques have been added to the armamentarium of existing therapeutic modalities.This article reviews the surgical treatment of UG,including Trabeculectomy,laser peripheral iridotomy,nonperforating deep sclerectomy,glaucoma drainage implants,minimally invasive glaucoma surgery,and also briefly discusses the application and effect of these surgical treatments.

关 键 词：葡萄膜炎继发性青光眼 小梁切除术 激光周边虹膜切除术 非穿透性深层巩膜切除术 青光眼引流植入物 微创青光眼手术 

分 类 号：R773[医药卫生—眼科]