Jordan J F
Universitäts-Augenklinik, Killianstr. 5, 79106, Freiburg, Deutschland.
Ophthalmologe. 2012 Jul;109(7):713-23; quiz 724. doi: 10.1007/s00347-012-2625-9.
The classical filtration surgery with trabeculectomy or drainage of chamber fluid with episcleral implants is the most effective method for permanent reduction of intraocular pressure to lower and normal levels. Even though both operative procedures are well-established the high efficiency of the method causes potentially dangerous intraoperative as well as interoperative complications with a frequency which cannot be ignored. In the past this led to a search for low complication alternatives with non-penetrating glaucoma surgery (NPGS) and the search is still continuing. Trabecular meshwork surgery in particular with continuous development of new operation techniques steered the focus to a complication-poor and minimally invasive, gonioscopic glaucoma surgery.
经典的小梁切除术或巩膜外植入物引流房水的滤过性手术是将眼压永久性降低至较低正常水平的最有效方法。尽管这两种手术方法都已成熟,但该方法的高效率导致术中及术后出现潜在危险的并发症,其发生频率不容忽视。过去,这促使人们寻求非穿透性青光眼手术(NPGS)这种并发症较少的替代方法,且这种探索仍在继续。特别是小梁网手术,随着新手术技术的不断发展,其重点转向了并发症少且微创的前房角镜下青光眼手术。