[介入性青光眼--治疗模式的转变]。

Harefuah Pub Date : 2024-05-01
Biana Dubinsky-Pertzov, Avner Belkin
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引用次数: 0

摘要

引言青光眼是一种进行性视神经病变,是导致全球可预防的不可逆失明的主要原因。青光眼会导致渐进性视野缺损,并对患者的生活质量产生重大影响。降低眼压(IOP)是唯一被证明可以预防青光眼导致视力丧失的治疗方法。降低眼压的方法有药物治疗、激光治疗和手术治疗。由于种种原因,主要是安全性和长期成功率方面的原因,青光眼的治疗模式一直是将手术干预留给晚期病例。在过去的二十年里,治疗范式发生了转变,开始使用激光和手术领域的各种不同技术进行早期降低眼压干预。本综述旨在了解这种模式转变的背景、必要性及其对青光眼患者视力和生活的潜在影响。
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[INTERVENTIONAL GLAUCOMA - A SHIFT IN THE TREATMENT PARADIGM].

Introduction: Glaucoma is a progressive optic neuropathy and is the leading cause of preventable irreversible blindness worldwide. Glaucoma causes progressive visual field loss and can have significant implications on the patient's quality of life. Lowering intraocular pressure (IOP) is the only treatment proven to prevent vision loss from glaucoma. It is achieved using medication, laser treatment and surgery. The treatment paradigm of glaucoma has been one whereby surgical intervention has been left for advanced cases due to a variety of reasons, mainly concerning safety and long term success. The past two decades have seen a paradigm shift towards earlier IOP lowering interventions using a wide array of different technologies in the laser and surgical spaces. This review aims to understand the background to this paradigm shift, its necessity, and its potential impact on the vision and life of glaucoma patients.

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