Strzalkowska Alicja, Dietlein Thomas, Erb Carl, Hoffmann Esther M
Augenklinik und Poliklinik, Universitätsmedizin Mainz, Johannes Gutenberg-Universität, Langenbeckstr. 1, 55131, Mainz, Deutschland.
Medizinische Fakultät und Uniklinik Köln, Zentrum für Augenheilkunde, Universität zu Köln, Köln, Deutschland.
Ophthalmologie. 2022 Oct;119(10):1000-1005. doi: 10.1007/s00347-022-01720-5. Epub 2022 Sep 8.
Trabeculectomy (TE) remains one of the most frequently performed glaucoma procedures. This surgery enables sufficient reduction of intraocular pressure (IOP) and freedom from using eye drops; however, complication management and time-consuming postoperative care make many ophthalmic surgeons reluctant to include TE in their treatment regimen.
This review presents the value of TE compared to other forms of filtering and nonfiltering glaucoma surgery.
The use of TE is still the most effective method for lowering IOP and in comparison to other forms of glaucoma surgery in most cases enables freedom from eye drops with a subsequent high quality of life. Postoperative complications occur more frequently, but usually heal spontaneously or can be treated adequately and safely by surgery; however, TE requires intensive postoperative care, which should not be neglected. Repeated surgery due to insufficient IOP reduction is less frequent compared to other forms of glaucoma surgery.
小梁切除术（TE）仍然是最常施行的青光眼手术之一。该手术能够充分降低眼压（IOP）并无需使用眼药水；然而，并发症管理和耗时的术后护理使许多眼科医生不愿将小梁切除术纳入其治疗方案。
本综述呈现了小梁切除术相较于其他形式的滤过性和非滤过性青光眼手术的价值。
小梁切除术的应用仍然是降低眼压最有效的方法，并且在大多数情况下，与其他形式的青光眼手术相比，能够无需使用眼药水，从而带来较高的生活质量。术后并发症发生得更为频繁，但通常会自行愈合，或者可以通过手术得到充分且安全的治疗；然而，小梁切除术需要强化的术后护理，这一点不容忽视。与其他形式的青光眼手术相比，因眼压降低不足而需再次手术的情况较少见。
