Schrieber Caroline, Liu Yao
Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin, USA.
Curr Opin Ophthalmol. 2015 Mar;26(2):134-42. doi: 10.1097/ICU.0000000000000131.
A diverse range of surgical approaches are now used for glaucoma management. This review compares the reported rates of serous choroidal effusion and suprachoroidal hemorrhage after various glaucoma surgical procedures. As these complications can be visually devastating, we summarize the current literature on prevention strategies and management.
Trabeculectomy remains one of the most effective and widely used glaucoma surgeries, but it is also associated with a significant rate of complications, including serous choroidal effusion and suprachoroidal hemorrhage. Alternative surgical techniques for glaucoma management are increasingly utilized due in part to their lower rate of associated complications. Prevention measures for serous choroidal effusion and suprachoroidal hemorrhage include the recognition of patient risk factors and careful selection of glaucoma surgical technique. Management options include observation, medications, office-based procedures, and surgical interventions directed at maximizing patient outcomes.
Familiarity with reported rates of postoperative choroidal effusions, patient risk factors, and management strategies will aid in reducing the frequency of these complications and in improving patient care.
目前，多种手术方法被用于青光眼治疗。本综述比较了各种青光眼手术术后浆液性脉络膜脱离和脉络膜上腔出血的报告发生率。由于这些并发症可能严重损害视力，我们总结了当前关于预防策略和治疗方法的文献。
小梁切除术仍然是最有效且应用最广泛的青光眼手术之一，但它也伴有较高的并发症发生率，包括浆液性脉络膜脱离和脉络膜上腔出血。部分由于相关并发症发生率较低，用于青光眼治疗的替代手术技术正越来越多地被采用。浆液性脉络膜脱离和脉络膜上腔出血的预防措施包括识别患者风险因素以及谨慎选择青光眼手术技术。治疗选择包括观察、药物治疗、门诊手术以及旨在使患者预后最大化的手术干预。
熟悉术后脉络膜脱离的报告发生率、患者风险因素和治疗策略，将有助于减少这些并发症的发生频率并改善患者护理。
