晶状体手术在原发性闭角型青光眼治疗中的发展现状  

Development of lens surgery in the treatment of primary angle-closure glaucoma

作　　者：乔云圣 陈君毅 Yun-Sheng Qiao;Jun-Yi Chen(Department of Ophthalmology, Eye Ear Nose and Throat Hospital of Fudan University, Shanghai 200031, China)

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼科,中国上海市200031

出　　处：《国际眼科杂志》2020年第9期1533-1538,共6页International Eye Science

基　　金：国家自然科学基金资助项目(No.81870661)。

摘　　要：晶状体因素在原发性闭角型青光眼(PACG)的发病机制中有着重要作用,浅前房、瞳孔阻滞和前房角拥挤等均与晶状体厚度、位置等参数改变有关。晶状体摘除术作为PACG的治疗手段由来已久,而白内障手术与传统青光眼手术的结合也是目前常用的治疗手段。本文就目前临床常用的超声乳化白内障吸除术(PE)及其与抗青光眼手术的联合应用对于PACG患者的治疗效果展开总结讨论,评价PE手术在PACG治疗中的地位。The lens plays a crucial part in the etiology of primary angle-closure glaucoma(PACG).The changes in the thickness and position of the lens have been related to common structural deviations observed in PACG eyes such as:shallow anterior chamber,pupillary block and crowded anterior chamber angle.Lens extraction has long been used to treat PACG,which combined with anti-glaucoma surgeries remains a commonly employed therapy.This article aims to summarize the medical outcome and role of phacoemulsification with or without anti-glaucoma surgeries in the treatment of PACG.

关 键 词：原发性闭角型青光眼 超声乳化白内障吸除术 房角分离术 滤过性手术 微小切口青光眼手术 透明晶状体摘除术 

分 类 号：R73[医药卫生—肿瘤]