University of Melbourne Department of Surgery, Royal Melbourne Hospital, Queensland, Australia.
Clin Exp Ophthalmol. 2011 Jan;39(1):61-4; quiz 92. doi: 10.1111/j.1442-9071.2010.02374.x.
Treatments for angle closure include eye drops, laser procedures, trabeculectomy and other drainage procedures, and now lens extraction. A 2006 Cochrane review of the role of lens extraction in angle closure disease concluded that there was no published evidence supporting the efficacy of lens extraction in chronic primary angle closure glaucoma. More recent randomized controlled trials have suggested greater promise. We wish to address the rationale, evidence base and philosophy for lens extraction - especially clear lens extraction - in preventing vision loss from glaucoma in angle closure disease.
治疗闭角型青光眼的方法包括眼药水、激光手术、小梁切除术和其他引流手术，以及现在的晶状体摘除术。2006 年 Cochrane 对晶状体摘除术在闭角型青光眼疾病中的作用的综述得出结论，没有发表的证据支持晶状体摘除术治疗慢性原发性闭角型青光眼的疗效。最近的随机对照试验有更大的希望。我们希望探讨晶状体摘除术（尤其是白内障摘除术）预防闭角型青光眼导致的视力丧失的基本原理、证据基础和哲学。
