Robe-Collignon N J, Collignon-Brach J D
Centre Hospitalier Universitaire Service d'Ophtalmologie Unité Glaucome Domaine du Sart Tilman B-4000 Liège.
Bull Soc Belge Ophtalmol. 2000;Suppl:45-54.
Non perforating trabecular surgery (NPTS) with reticulated hyaluronic acid implant (Skgel) allows aqueous humor to leave anterior chamber through a thin trabeculo-Descemet's membrane into a sclerocorneal space filled with Skgel implant and then via the outflow physiological channels. Good intraocular pressure results are obtained with less or without external filtration decreasing the incidence of per- and postoperative complications found after trabeculectomy. This surgery is actually only indicated for primary open angle glaucoma, the trabeculectomy still remaining the gold standard procedure for the other glaucoma cases.
采用网状透明质酸植入物(Skgel)的非穿透性小梁手术(NPTS)可使房水通过一层薄的小梁-Descemet膜进入充满Skgel植入物的巩膜角膜间隙,然后经生理性流出通道从前房流出。该手术能取得良好的眼压控制效果,且较少或无需进行外部滤过,从而降低了小梁切除术后围手术期及术后并发症的发生率。实际上,这种手术仅适用于原发性开角型青光眼,小梁切除术仍是其他类型青光眼的金标准术式。