巩膜瓣下引流术综述。
A review of canaloplasty.
作者信息
Harvey Ben J, Khaimi Mahmoud A
机构信息
Department of Ophthalmology, Dean McGee Eye Institute, University of Oklahoma, USA.
出版信息
Saudi J Ophthalmol. 2011 Oct;25(4):329-36. doi: 10.1016/j.sjopt.2011.08.003. Epub 2011 Aug 16.
Abstract
Canaloplasty is a method of lowering intraocular pressure (IOP) by which a flexible, beacon-tipped microcatheter equipped with an ophthalmic viscosurgical device (OVD) delivery system is used to catheterize and introduce a suture into Schlemm's canal. Ligation of this suture provides tension on the canal and facilitates aqueous outflow. Canaloplasty is designed to be a blebless procedure that requires no antifibrotic agents and has been shown to safely and effectively lower IOP in patients with open-angle glaucoma (OAG) with minimal complications. Most importantly, no bleb-related adverse events are associated with this procedure. When contemplating surgical management of OAG, canaloplasty may be considered.
摘要
小梁切开术是一种降低眼压的方法，通过使用配备眼科粘弹剂（OVD）输送系统的柔性、带信标的微导管对施莱姆管进行插管并引入缝线。结扎该缝线可对管产生张力并促进房水流出。小梁切开术旨在成为一种无滤过泡的手术，无需使用抗纤维化药物，并且已被证明能安全有效地降低开角型青光眼（OAG）患者的眼压，并发症极少。最重要的是，该手术不会出现与滤过泡相关的不良事件。在考虑对OAG进行手术治疗时，可以考虑小梁切开术。
相似文献
1
A review of canaloplasty.巩膜瓣下引流术综述。
Saudi J Ophthalmol. 2011 Oct;25(4):329-36. doi: 10.1016/j.sjopt.2011.08.003. Epub 2011 Aug 16.
2
Canaloplasty: circumferential viscodilation and tensioning of Schlemm's canal using a flexible microcatheter for the treatment of open-angle glaucoma in adults: interim clinical study analysis.小梁切开术：使用可弯曲微导管对施莱姆管进行环形粘弹扩张和张紧，用于治疗成人开角型青光眼：中期临床研究分析
J Cataract Refract Surg. 2007 Jul;33(7):1217-26. doi: 10.1016/j.jcrs.2007.03.051.
3
Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives.房角切开术治疗原发性开角型青光眼：患者选择与展望
Clin Ophthalmol. 2019 Dec 31;13:2617-2629. doi: 10.2147/OPTH.S155057. eCollection 2019.
4
Catheter-independent suture probe canaloplasty with suprachoroidal drainage.采用脉络膜上腔引流的非导管缝线探针巩膜瓣下引流术。
Graefes Arch Clin Exp Ophthalmol. 2019 Jan;257(1):169-173. doi: 10.1007/s00417-018-4182-7. Epub 2018 Nov 7.
5
New suture probe canaloplasty combined with suprachoroidal collagen implantation.新型缝线探通睫状体平坦部巩膜造瘘联合脉络膜上腔胶原植入术。
Int Ophthalmol. 2024 Apr 29;44(1):208. doi: 10.1007/s10792-024-03135-4.
6
[Trabeculectomy versus canaloplasty].[小梁切除术与房角成形术]
Ophthalmologe. 2015 Apr;112(4):325-31. doi: 10.1007/s00347-014-3160-7.
7
Canaloplasty: Current Value in the Management of Glaucoma.房角分离术：青光眼治疗中的当前价值
J Ophthalmol. 2016;2016:7080475. doi: 10.1155/2016/7080475. Epub 2016 Apr 30.
8
Canaloplasty using iTrack 250 Microcatheter with Suture Tensioning on Schlemm's Canal.使用iTrack 250微导管在施莱姆管上进行缝线拉紧的巩膜切开术。
Middle East Afr J Ophthalmol. 2009 Jul;16(3):127-9. doi: 10.4103/0974-9233.56224.
9
Canaloplasty in the Treatment of Open-Angle Glaucoma: A Review of Patient Selection and Outcomes.睫状体平坦部房水引流术治疗开角型青光眼：患者选择和结局的综述。
Adv Ther. 2019 Jan;36(1):31-43. doi: 10.1007/s12325-018-0842-6. Epub 2018 Nov 28.
10
Canaloplasty with mitomycin C after previous combined cataract surgery and Schlemm's canal microstent implantation.白内障超声乳化联合房水引流物植入术后行丝裂霉素 C 联合小梁切开术。
Eur J Ophthalmol. 2022 Jan;32(1):712-716. doi: 10.1177/11206721211000275. Epub 2021 Mar 11.
引用本文的文献
1
Ten-Year Results After Canaloplasty and Phacocanaloplasty.小梁切除术和房角切开式小梁切除术的十年结果。
J Clin Med. 2025 Apr 4;14(7):2481. doi: 10.3390/jcm14072481.
2
Clinical Outcomes of Excisional Goniotomy with the Kahook Dual Blade: 6-Year Results.使用卡胡克双刃刀进行切开式前房角切开术的临床结果：6年随访结果
Ophthalmol Ther. 2024 Oct;13(10):2731-2744. doi: 10.1007/s40123-024-01016-8. Epub 2024 Aug 16.
3
A Review of Canaloplasty in the Treatment and Management of Glaucoma.青光眼治疗与管理中房角切开术的综述
J Curr Glaucoma Pract. 2024 Apr-Jun;18(2):79-85. doi: 10.5005/jp-journals-10078-1442. Epub 2024 Jul 10.
4
Incidence and Clinical Characteristics of Postoperative Endophthalmitis After Ab-Interno Canaloplasty.内路小梁切开术术后眼内炎的发病率及临床特征
Clin Ophthalmol. 2022 Nov 22;16:3875-3882. doi: 10.2147/OPTH.S392322. eCollection 2022.
5
Safety and Efficacy of Three Variants of Canaloplasty with Phacoemulsification to Treat Open-Angle Glaucoma and Cataract: 12-Month Follow-Up.三种小梁切开联合白内障超声乳化术治疗开角型青光眼合并白内障的安全性和有效性：12个月随访
J Clin Med. 2022 Nov 2;11(21):6501. doi: 10.3390/jcm11216501.
6
Two-year outcome of Trabeculo-Canalectomy for Chinese Glaucoma Patients.中国青光眼患者小梁切开术的两年疗效。
Int J Med Sci. 2020 Jul 25;17(13):2024-2030. doi: 10.7150/ijms.46729. eCollection 2020.
7
Mini-canaloplasty as a modified technique for the surgical treatment of open-angle glaucoma.微创小粱切开术作为一种改良技术用于开角型青光眼的手术治疗。
Sci Rep. 2020 Jul 30;10(1):12801. doi: 10.1038/s41598-020-69261-y.
8
Improvement of the Safety Profile of Canaloplasty and Phacocanaloplasty: A Review of Complications and Their Management.巩膜扣带术和房角切开术安全性的改善：并发症及其处理的综述
J Ophthalmol. 2020 Jun 16;2020:8352827. doi: 10.1155/2020/8352827. eCollection 2020.
9
Canaloplasty in the Treatment of Primary Open-Angle Glaucoma: Patient Selection and Perspectives.房角切开术治疗原发性开角型青光眼：患者选择与展望
Clin Ophthalmol. 2019 Dec 31;13:2617-2629. doi: 10.2147/OPTH.S155057. eCollection 2019.
10
Progression on canaloplasty for primary open angle glaucoma.原发性开角型青光眼小梁切开术的进展
Int J Ophthalmol. 2019 Oct 18;12(10):1629-1633. doi: 10.18240/ijo.2019.10.16. eCollection 2019.
本文引用的文献
1
Three-year canaloplasty outcomes for the treatment of open-angle glaucoma: European study results.3 年巩膜隧道成形术治疗开角型青光眼的疗效：欧洲研究结果。
Graefes Arch Clin Exp Ophthalmol. 2011 Oct;249(10):1537-45. doi: 10.1007/s00417-011-1728-3. Epub 2011 Jul 6.
2
Novel glaucoma procedures: a report by the American Academy of Ophthalmology.新型青光眼手术：美国眼科学会报告。
Ophthalmology. 2011 Jul;118(7):1466-80. doi: 10.1016/j.ophtha.2011.03.028.
3
Intracorneal hematoma after canaloplasty in glaucoma.青光眼巩膜隧道切开术后角膜内血肿。
Cornea. 2011 Jun;30(6):718-9. doi: 10.1097/ICO.0b013e3182000955.
4
Short-term results of canaloplasty surgery for primary open-angle glaucoma in Japanese patients.日本患者原发性开角型青光眼小梁切开术的短期结果。
Case Rep Ophthalmol. 2011 Feb 14;2(1):65-8. doi: 10.1159/000324808.
5
Canaloplasty: Three-year results of circumferential viscodilation and tensioning of Schlemm canal using a microcatheter to treat open-angle glaucoma.房角切开术：使用微导管对 Schlemm 管进行环形黏弹性扩张和张力调节治疗开角型青光眼的 3 年结果。
J Cataract Refract Surg. 2011 Apr;37(4):682-90. doi: 10.1016/j.jcrs.2010.10.055.
6
Canaloplasty in one eye compared with viscocanalostomy in the contralateral eye in patients with bilateral open-angle glaucoma.双眼开角型青光眼患者一眼行房水引流管植入术与对侧眼行黏弹剂巩膜切开术的比较。
J Glaucoma. 2012 Feb;21(2):129-34. doi: 10.1097/IJG.0b013e31820277c0.
7
Canaloplasty for primary open-angle glaucoma: long-term outcome.青光眼引流管植入术治疗原发性开角型青光眼：长期疗效观察。
Br J Ophthalmol. 2010 Nov;94(11):1478-82. doi: 10.1136/bjo.2009.163170.
8
Circumferential viscocanalostomy and suture canal distension (canaloplasty) for whites with open-angle glaucoma.环形黏小管切开术联合缝线巩膜隧道扩张术（黏小管成形术）治疗白人开角型青光眼。
J Glaucoma. 2011 Jun-Jul;20(5):298-302. doi: 10.1097/IJG.0b013e3181e3d46e.
9
Bilateral Descemet membrane detachment after canaloplasty.后房水引流管植入术后双眼角膜后弹力层脱离。
J Cataract Refract Surg. 2010 Mar;36(3):508-11. doi: 10.1016/j.jcrs.2009.08.039.
10
Canaloplasty using iTrack 250 Microcatheter with Suture Tensioning on Schlemm's Canal.使用iTrack 250微导管在施莱姆管上进行缝线拉紧的巩膜切开术。
Middle East Afr J Ophthalmol. 2009 Jul;16(3):127-9. doi: 10.4103/0974-9233.56224.
Zotero 插件