Department of Ophthalmology, National University Health System.
Yong Loo Lin School of Medicine, National University of Singapore.
Curr Opin Ophthalmol. 2023 Mar 1;34(2):152-161. doi: 10.1097/ICU.0000000000000940.
To review the various surgical options of management of medically refractory glaucoma in uveitic eyes.
Uveitic glaucoma is particularly challenging to manage. We look at the evidence for various surgical options, or the lack of, in the surgical management of medically refractory glaucoma in uveitis.
Conventional glaucoma filtration surgeries such as trabeculectomy and glaucoma drainage implants were more commonly described first line surgical options in the therapy of medically refractory uveitic glaucoma. However, with the introduction of newer implants and options of minimally invasive glaucoma surgeries, the choice of first line surgeries may now be possibly expanded to include other options. However, more research is required to evaluate the efficacy of the newer surgical options in the management of glaucoma in uveitis patients.
回顾治疗葡萄膜炎相关难治性青光眼的各种手术选择。
葡萄膜炎相关青光眼的治疗极具挑战性。我们着眼于各种手术选择的证据，或缺乏相关证据，探讨在葡萄膜炎相关难治性青光眼的药物治疗中手术管理的应用。
传统的青光眼滤过性手术，如小梁切除术和青光眼引流植入物，在治疗葡萄膜炎相关难治性青光眼的一线手术选择中更为常见。然而，随着新型植入物和微创青光眼手术选择的出现，一线手术的选择现在可能扩大到包括其他选择。然而，需要更多的研究来评估新型手术选择在葡萄膜炎患者的青光眼管理中的疗效。
