Philadelphia College of Osteopathic Medicine, Moultrie, GA, USA.
Department of Ophthalmology, Duke University, Durham, NC, USA.
Semin Ophthalmol. 2022 Oct-Nov;37(7-8):830-838. doi: 10.1080/08820538.2022.2102927. Epub 2022 Jul 27.
Minimally invasive glaucoma surgeries (MIGS) and non-penetrating glaucoma procedures have changed the surgical management of glaucoma in recent years and are being explored in the management of uveitic glaucoma. Deep sclerectomy, Xen45 gel stent, gonioscopy-assisted transluminal trabeculotomy (GATT), trabectome, and canaloplasty are described in the literature as alternative surgeries that may work for uveitic glaucoma. While most of the published studies are retrospective case series, the results suggest success even in refractory cases and with less inflammation than more traditional surgeries.
近年来,微创青光眼手术 (MIGS) 和非穿透性青光眼手术改变了青光眼的手术治疗方式,并且正在探索用于治疗葡萄膜炎性青光眼。深层巩膜切除术、Xen45 凝胶支架、房角镜辅助经巩膜小梁切开术 (GATT)、小梁切除术和巩膜切开术在文献中被描述为可能适用于葡萄膜炎性青光眼的替代手术。虽然大多数已发表的研究都是回顾性病例系列,但结果表明,即使在难治性病例中,这些手术也取得了成功,并且比传统手术引起的炎症更少。