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[青光眼治疗中的手术选择]

[Surgical Options in Glaucoma Management].

作者信息

Dietlein Thomas S, Rosentreter André

机构信息

Augenklinik, Universitätskliniken Köln.

Augenklinik, Universitätskliniken Würzburg.

出版信息

Klin Monbl Augenheilkd. 2018 Sep;235(9):1013-1020. doi: 10.1055/s-0043-106297. Epub 2017 Jun 2.

Abstract

During the last few years, there has been a considerable capacity of innovations in glaucoma surgery owing to new micro-stents increasing the aqueous outflow via transscleral routes, via the trabecular meshwork or the suprachoroidal space. These interventions can be easily performed in combination with small-incision cataract surgery. Even the well-known filtering procedures, trabeculectomy and drainage device surgery, formerly perceived as being outdated, re-achieve better reputation owing to refinements in surgical technique and improved surgical experience. Although enthusiasm is understandable, considering the technical advances, we must wait for clinical long-term results and compare the new procedures with the established ones.

摘要

在过去几年中,由于新型微支架增加了经巩膜途径、小梁网或脉络膜上腔的房水流出量,青光眼手术有了相当大的创新能力。这些干预措施可以很容易地与小切口白内障手术联合进行。甚至以前被认为过时的著名滤过手术,如小梁切除术和引流装置手术,由于手术技术的改进和手术经验的提高,也重新获得了更好的声誉。尽管考虑到技术进步,这种热情是可以理解的,但我们必须等待临床长期结果,并将新手术与现有手术进行比较。

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