[青光眼滤过手术 - 眼泡形成程序]。

IF 0.8 4区 医学 Q4 OPHTHALMOLOGY Klinische Monatsblatter fur Augenheilkunde Pub Date : 2024-07-01 Epub Date: 2024-05-24 DOI:10.1055/a-2305-5053
Dirk Bahlmann, Christian van Oterendorp
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引用次数: 0

摘要

几十年来,青光眼滤过手术一直是标准的外科疗法。随着对眼部伤口愈合过程的了解不断加深、抗代谢药物治疗的引入以及手术技术的不断改进,小梁切除术(滤过手术的雏形)成为了一种非常有效的治疗手段。然而,只有具备丰富的经验并花时间进行术后随访,才能定期获得最佳效果。此外,早期和晚期出现严重并发症的可能性仍然很高。因此,基于支架的新型过滤手术方法应运而生,如 Preserflo 和 XEN 分流术。本综述介绍了这三种滤泡形成手术,包括手术技术的基本原理、效果数据以及并发症。
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[Glaucoma Filtration Surgery - Bleb-forming Procedures].

Glaucoma filtration surgery has been a standard surgical therapy for decades. An increasing knowledge about wound healing processes in the eye, the introduction of antimetabolite treatment and continuous improvements of the surgical technique helped making trabeculectomy - the prototype filtration surgery - a very effective therapeutic tool. However, best results will only be regularly achieved with a high level of experience and time dedicated to postoperative follow-up. Furthermore, the potential for severe early and late complications still remains high. Thus, novel stent-based filtration surgery approaches, such as the Preserflo and the XEN shunt have been introduced. This review presents these three bleb-forming filtration procedures, covering the basic principles of surgical technique, data on effectivity as well as complications.

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CiteScore
1.30
自引率
0.00%
发文量
235
审稿时长
4-8 weeks
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