从小梁网引流途径生理功能角度思考小梁网切开相关微创青光眼手术  

To discuss the minimally invasive glaucoma surgery related to trabeculotomy from the perspective of physiological function of trabecular meshwork drainage pathway

作　　者：张虹[1] 王军明[1] Zhang Hong;Wang Junming(Department of Ophthalmology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院眼科,武汉430030

出　　处：《中华眼科杂志》2024年第5期399-402,共4页Chinese Journal of Ophthalmology

基　　金：国家自然科学基金(82271090、81974133、82271089)。

摘　　要：微创青光眼手术(MIGS)的应用给青光眼的治疗提供了更多的选择。其中,针对小梁网-Schlemm管房水外流阻力位点设计的MIGS近年应用广泛,这也使房水流出通路的生理功能及病理改变逐渐成为研究热点。然而,近全周或全周切开小梁网组织后,能否如预期达到降低房水流出阻力的目的,以及开角型青光眼患者是否均适合选择MIGS等问题仍有待深度探讨。本文结合临床实践经验及国内外临床研究结果,重新审视MIGS,以期帮助临床医师更从容选择青光眼的治疗方法。The advent of minimally invasive glaucoma surgery(MIGS)has broadened the therapeutic options for managing glaucoma.In recent years,MIGS procedures targeting the trabecular meshwork-Schlemm′s canal aqueous outflow resistance site have garnered significant attention.This focus has extended to the pathophysiological changes occurring within the aqueous outflow pathway.However,questions persist regarding the efficacy of near-peripheral or peripheral trabeculotomy in achieving the anticipated reduction of outflow resistance and the suitability of MIGS surgery for patients with primary open-angle glaucoma.By integrating clinical experience with pertinent clinical research,this paper advocates for a reevaluation of MIGS procedures to aid clinicians in making informed decisions regarding various glaucoma surgical interventions.

关 键 词：青光眼 小梁网 最小侵入性外科手术 微创青光眼手术 

分 类 号：R47[医药卫生—护理学]