Xie L, Zhu X M
Department of Ophthalmology, the Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China.
Zhonghua Yan Ke Za Zhi. 2018 Nov 11;54(11):806-810. doi: 10.3760/cma.j.issn.0412-4081.2018.11.003.
The filtration bleb dependent surgeries, such as trabeculectomy, are the main methods for glaucoma treatment in China. However, the filtration bleb scarring after the surgery has always been a challenge to long-term results. In recent years, with the application of anti-glaucoma non-filtering bleb dependent surgery, the surgery complications of filter bubble dependence have been avoided, such as shallow anterior chamber and leakage of filtering bleb. Researches are still needed on the indications, long-term effects and health economics evaluations. It also takes time to widely popularize its application in China. This article focuses on comparing the filtration bleb dependent surgeries with non-filtering bleb dependent surgeries to deeply state the characteristics, advantages and disadvantages of the two methods. -.
以滤过泡为基础的手术,如小梁切除术,是中国青光眼治疗的主要方法。然而,术后滤过泡瘢痕形成一直是影响长期疗效的一大挑战。近年来,随着抗青光眼非滤过泡依赖型手术的应用,避免了滤过泡依赖型手术的并发症,如浅前房和滤过泡渗漏。在适应证、长期效果和卫生经济学评估方面仍需开展研究。其在中国广泛推广应用也尚需时日。本文重点比较滤过泡依赖型手术和非滤过泡依赖型手术,深入阐述两种方法的特点、优缺点。-