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青光眼手术中的脉络膜上腔途径

The Suprachoroidal Route in Glaucoma Surgery.

作者信息

Gigon Anthony, Shaarawy Tarek

机构信息

Medical Student (Final Year), Department of Ophthalmology, Geneva University Hospital Geneva, Switzerland.

LecturerDepartment of Ophthalmology, Geneva University Hospital Geneva, Switzerland.

出版信息

J Curr Glaucoma Pract. 2016 Jan-Apr;10(1):13-20. doi: 10.5005/jp-journals-10008-1197. Epub 2016 May 12.

Abstract

Glaucoma surgeries targeting the uveoscleral drainage pathways have been drawing more attention lately. Among all the available techniques, procedures focusing on the supra-choroidal space seem particularly promising, by making use of a presumably efficient and secure outflow route and avoiding subconjunctival filtration blebs. The purpose of this review is to assess the efficacy and the security of the different suprachoroidal drainage implants, namely the CyPass Micro-Stent, the iStent Supra, the SOLX Gold Shunt, the Aquashunt, and the STARflo Glaucoma Implant. Most clinical studies seem to currently point toward the direction that there are actual benefits in suprachoroidal surgeries by avoiding bleb-related complications. Nevertheless, even suprachoroidal implants may be subject to scarring and failure. More data are still needed, especially concerning long-term effects, although the approach does seem appealing. How to cite this article: Gigon A, Shaarawy T. The Suprachoroidal Route in Glaucoma Surgery. J Curr Glaucoma Pract 2016;10(1): 13-20.

摘要

针对葡萄膜巩膜引流途径的青光眼手术近来越来越受到关注。在所有可用技术中,聚焦脉络膜上腔的手术似乎特别有前景,因为它利用了一条可能高效且安全的流出途径,并且避免了结膜下滤过泡的形成。本综述的目的是评估不同脉络膜上腔引流植入物的疗效和安全性,即CyPass微支架、iStent Supra、SOLX金分流管、Aquashunt和STARflo青光眼植入物。目前大多数临床研究似乎都指向这样一个方向,即脉络膜上腔手术通过避免与滤过泡相关的并发症确实有实际益处。然而,即使是脉络膜上腔植入物也可能会出现瘢痕形成和失败的情况。尽管这种方法看起来很有吸引力,但仍需要更多数据,尤其是关于长期效果的数据。如何引用本文:吉贡A,沙拉维T。青光眼手术中的脉络膜上腔途径。《当代青光眼实践杂志》2016年;10(1):13 - 20。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/416a/4875730/83a1f51cdfb4/jocgp-10-013-g001.jpg

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