US ophthalmic review最新文献_第6页

Clear Lens Extraction in Primary Angle-closure Disease—Pros and Cons 原发闭角病的透明晶状体摘除术的利弊

US ophthalmic review

Pub Date : 2020-01-01 DOI: 10.17925/usor.2020.13.1.23

S. Ahmad, Ghuncha Khatoon, Iram Jahan, Naeem Arafat, Anwar Husain, Tooba Hayat

Cataract extraction for management of primary angle-closure disease has been successfully practiced for many years. However, the extraction of a clear lens for glaucoma management, when visual symptoms are minimal, is a controversial subject. A few studies have reported on the outcomes of clear lens extraction without resorting to conventional methods, such as drugs and lasers. Others have compared clear lens extraction with trabeculectomy or iridotomy. Most have reported successful outcomes with this surgical modality, in terms of intraocular pressure control, reduction in the number of glaucoma medications, opening of the anterior chamber angle, visual gain, and improvement in quality of life. Unfortunately, the studies on clear lens extraction are hampered by both positive and negative aspects in their execution. This review was undertaken to debate the points presented in the studies in order to have a better understanding of the advantages and disadvantages of clear lens extraction in primary angle-closure disease.

白内障摘出治疗原发性闭角症已成功实践多年。然而，在视力症状轻微的情况下，摘除透明晶状体治疗青光眼是一个有争议的话题。一些研究报道了不使用药物和激光等传统方法提取透明晶状体的结果。其他人则比较了透明晶状体摘除与小梁切除术或虹膜切开术。大多数报道了这种手术方式的成功结果，包括眼压控制、减少青光眼药物的数量、打开前房角、视力增加和生活质量的改善。遗憾的是，透明晶状体提取的研究在执行过程中受到了正反两方面的阻碍。本综述旨在讨论研究中提出的观点，以便更好地了解在原发性闭角性疾病中摘除透明晶状体的优点和缺点。