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青光眼

Glaucomas.

作者信息

Maggio Federica

机构信息

Tufts Veterinary Emergency Treatment and Specialties (Tufts V.E.T.S.), Walpole, MA, USA.

出版信息

Top Companion Anim Med. 2015 Sep;30(3):86-96. doi: 10.1053/j.tcam.2015.07.011. Epub 2015 Jul 10.

Abstract

Canine and feline glaucomas are commonly presented as ocular emergencies. Glaucoma is a common cause of vision loss and a frustrating disorder in terms of medical and surgical treatment. Increased intraocular pressure (IOP) is a significant risk factor in the disease, leading to damage of the retina and optic nerve head. IOP measurement and gonioscopic and fundic examinations provide the instruments for diagnosis of glaucoma. The primary goal in glaucoma therapy is aimed at vision preservation. Medical treatment provides temporary relief, but alone it fails to control IOP in the long term, and surgical intervention is recommended. Surgical patient selection depends on several factors, from type and stage of glaucoma to the presence of or potential for vision. Available surgical procedures to decrease IOP consist of cyclodestructive techniques to decrease aqueous humor production and filtering techniques to increase its drainage. Even with recent surgical and medical advances, pain and blindness are still common occurrences in the disease: end-stage procedures such as enucleation, evisceration with intrascleral prosthesis, and pharmacologic ablation of ciliary bodies are then recommended to address chronic discomfort for buphthalmic and blind globes.

摘要

犬猫青光眼通常表现为眼部急症。青光眼是视力丧失的常见原因,在药物和手术治疗方面是一种令人沮丧的疾病。眼内压(IOP)升高是该疾病的一个重要危险因素,会导致视网膜和视神经乳头受损。眼压测量以及前房角镜检查和眼底检查为青光眼的诊断提供了手段。青光眼治疗的主要目标是保护视力。药物治疗可提供暂时缓解,但单独使用无法长期控制眼压,因此建议进行手术干预。手术患者的选择取决于多个因素,从青光眼的类型和阶段到视力的存在或潜力。现有的降低眼压的手术方法包括减少房水生成的睫状体破坏技术和增加房水引流的滤过技术。即使有了近期的手术和医学进展,疼痛和失明在该疾病中仍然很常见:对于牛眼和失明眼球,建议采用眼球摘除、巩膜内植入假体的眼内容剜除术以及睫状体的药物消融等终末期手术来解决慢性不适。

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