Lee Richard K, Fantes Francisco
Bascom Palmer Eye, Institute University of Miami School of Medicine, Miami, Florida 33136, USA.
Curr Opin Ophthalmol. 2003 Apr;14(2):95-9. doi: 10.1097/00055735-200304000-00008.
The reasons for having combined glaucoma and corneal transplant surgery are myriad. Patients with corneal transplants have a high frequency of developing secondary glaucoma. Patients with preexisting glaucoma have even higher risk for developing glaucoma refractory to medical management after penetrating keratoplasty. The indication for corneal transplant affects the risk for developing postkeratoplasty glaucoma. The surgical treatment options for treating glaucoma include laser trabeculoplasty, cycloablation, trabeculectomy, and glaucoma drainage implants. In addition, the sequencing of glaucoma surgery relative to penetrating keratoplasty affects the outcome. Newer corneal transplant techniques may have a lower risk for developing secondary glaucoma.
同时进行青光眼和角膜移植手术的原因众多。接受角膜移植的患者发生继发性青光眼的频率很高。已有青光眼的患者在穿透性角膜移植术后发生药物治疗无效的青光眼的风险甚至更高。角膜移植的适应证会影响角膜移植术后发生青光眼的风险。治疗青光眼的手术选择包括激光小梁成形术、睫状体光凝术、小梁切除术和青光眼引流植入物。此外，青光眼手术相对于穿透性角膜移植术的顺序会影响手术结果。较新的角膜移植技术可能发生继发性青光眼的风险较低。
