Zhang Yu, Song Yunhe, Zhou Yue, Bai Bingyu, Zhang Xiulan, Chen Weirong
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Sun Yat-sen University, Guangzhou, China.
Asia Pac J Ophthalmol (Phila). 2023;12(1):94-102. doi: 10.1097/APO.0000000000000586. Epub 2022 Dec 13.
Glaucoma following cataract surgery (GFCS) remains a serious postoperative complication of pediatric cataract surgery. Various risk factors, including age at lensectomy, intraocular lens implantation, posterior capsule status, associated ocular/systemic anomaly, additional intraocular surgery, and a family history of congenital cataract and GFCS, have been reported. However, the optimal surgical approach remains unclear. This review evaluates the diagnostic criteria, classification, risk factors, mechanism, and surgical management, especially the efficacy of minimally invasive glaucoma surgery, in GFCS, and aims to propose an optimal clinical management strategy for GFCS. The results of our review indicate that ab interno trabeculotomy (goniotomy) may be the most appropriate first-line treatment for GFCS.
白内障手术后青光眼（GFCS）仍然是小儿白内障手术严重的术后并发症。已经报道了多种风险因素，包括晶状体切除术时的年龄、人工晶状体植入、后囊膜状态、相关的眼部/全身异常、额外的眼内手术以及先天性白内障和GFCS的家族史。然而，最佳手术方法仍不明确。本综述评估了GFCS的诊断标准、分类、风险因素、机制和手术管理，特别是微创青光眼手术的疗效，旨在提出GFCS的最佳临床管理策略。我们的综述结果表明，内路小梁切开术（前房角切开术）可能是GFCS最合适的一线治疗方法。
Zotero 插件