Jacobi P C
Department of Ophthalmology, University of Cologne, Germany.
Curr Opin Ophthalmol. 1997 Apr;8(2):73-9. doi: 10.1097/00055735-199704000-00014.
In contrast to conventional filtering procedures, microtrabecular surgery is intended to selectively combat the diseased structure in the pathogenesis of chronic open-angle glaucoma, thereby reducing potential risks during and after transscleral drainage operations. This overview considers new techniques in trabecular surgery, with special emphasis on the description of each novel technique, its instrumentation, its presumed mechanism of action, and its clinical results. Trabecular aspiration is evaluated as a method of clearing extracellular debris from intertrabecular spaces in pseudoexfoliation glaucoma or goniocurretage, and laser trabecular ablation for the treatment of absolute glaucomas is discussed. Although preliminary results are promising, most of these procedures are still experimental and under careful clinical evaluation, leaving plenty of room for refinements and further developments.
与传统的滤过手术不同，微小梁手术旨在选择性地对抗慢性开角型青光眼发病机制中的病变结构，从而降低经巩膜引流手术期间及术后的潜在风险。本综述探讨小梁手术的新技术，特别着重于每种新技术的描述、其器械、推测的作用机制及其临床结果。评估小梁抽吸术作为一种清除假性剥脱性青光眼或房角刮除术中小梁间隙细胞外碎片的方法，并讨论用于治疗绝对期青光眼的激光小梁切除术。尽管初步结果很有前景，但这些手术大多仍处于实验阶段并在接受仔细的临床评估，仍有很大的改进和进一步发展空间。
