重复青光眼手术:现代视角下的问题

A. A. Vitkov, A. Kuroyedov, A. S. Makarova, R. P. Poleva, D. A. Dorofeev, I. I. Asinovskova
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引用次数: 0

摘要

青光眼手术是达到眼压目标水平最有效的方法。然而,它有显著的优点和缺点。主要的缺点是它的降压作用是暂时的。手术失败的发生可以发生在干预后的不同时间。正确评估手术时机和过度瘢痕形成的危险因素,以及正确的围手术期治疗,可以延长手术效果,减少重复手术次数。随着手术治疗方法的广泛选择,小梁切除术仍然是最常用的干预措施。它的效果被更好地理解,可以被认为是更可控的。如果青光眼的手术治疗无效,可以开一个“重启”疗法,激活先前形成的流出道,并进行第二次干预。针刺技术的发展使得延迟重复干预成为可能,延长了初次手术的降压效果。
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Repeat glaucoma surgery: modern view of the problem
Glaucoma surgery is the most effective way to achieve target levels of intraocular pressure. However, it has significant advantages and disadvantages. The main disadvantage is the temporary nature of its hypotensive effect. The onset of surgical failure can occur at various times after the intervention. A correct assessment of the operation timing and risk factors for excessive scarring, as well as correct perioperative therapy, can prolong the effectiveness of the surgery and reduce the number of repeat operations.With a wide choice of surgical treatment methods, trabeculectomy remains the most frequently performed intervention. Its effect is better understood and can be considered more controllable. If the surgical treatment of glaucoma is ineffective, it is possible to prescribe a "restart" therapy, activate previously formed outflow tracts, and perform a second intervention. The development of needling technology makes it possible to delay repeat interventions, prolonging the hypotensive effect of the initial operation.
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