Tailor Rajen, Batra Ruchika, Mohamed Shabbir
a Department of Ophthalmology , University Hospitals , Birmingham , UK.
Semin Ophthalmol. 2016;31(6):519-25. doi: 10.3109/08820538.2014.986585. Epub 2014 Dec 9.
Preserved anti-glaucoma drops cause ocular surface disease (OSD), which is increasingly being recognized as a likely cause of trabeculectomy failure.
To determine the routine pre-trabeculectomy management of the ocular surface by glaucoma specialists.
A questionnaire consisting of 11 questions was posted to 146 UK glaucoma specialists.
The first-time response rate was 43.8%. Regarding routine pre-operative management, 40.6% of specialists use preservative-free drops, 29.7% commence a drop holiday, and 53% advise lid hygiene. 42.1% prescribe lubricants, 50% prescribe topical steroids, 7.8% topical NSAIDs, and 34.4% systemic tetracyclines. 84.4% of specialists change their routine management if OSD is present. Pre-operative optimization of the ocular surface is viewed "necessary" by 48.4% and "beneficial" by 85.9%.
A wide variation exists in the routine pre-operative management of the ocular surface. Research to determine the impact of different pre-operative interventions upon trabeculectomy outcomes is required.
保存型抗青光眼滴眼液会导致眼表疾病（OSD），越来越多的人认为这可能是小梁切除术失败的原因。
确定青光眼专科医生对小梁切除术术前眼表的常规管理方法。
向146名英国青光眼专科医生发放了一份包含11个问题的问卷。
首次回复率为43.8%。关于术前常规管理，40.6%的专科医生使用不含防腐剂的滴眼液，29.7%的医生开始停用滴眼液，53%的医生建议进行眼睑卫生护理。42.1%的医生开润滑剂，50%的医生开局部用类固醇，7.8%的医生开局部用非甾体抗炎药，34.4%的医生开全身性四环素。如果存在眼表疾病，84.4%的专科医生会改变他们的常规管理方法。48.4%的人认为术前优化眼表“必要”，85.9%的人认为“有益”。
术前眼表的常规管理方法存在很大差异。需要进行研究以确定不同术前干预措施对小梁切除术结果的影响。
