天津医药

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微创引流植入物在青光眼手术中的应用进展

苏龙 1,汤欣 2△   

  1. 1天津医科大学第二医院,天津市眼眶病研究所(邮编300211);2天津市眼科医院
  • 出版日期:2018-07-15 发布日期:2018-07-15
  • 作者简介:苏龙(1977),男,在读博士,副主任医师,主要从事白内障和青光眼相关研究

Advances in minimally invasive drainage implants in glaucoma surgery

SU Long1,TANG Xin2△   

  1. 1 The 2nd Hospital of Tianjin Medical University, Tianjin Institute of Orbital Disease, Tianjin 300211, China; 2 Tianjin Eye Hospital △Corresponding Author E-mail:Tangdoctortj@163.com
  • Published:2018-07-15 Online:2018-07-15

摘要: 青光眼手术从原理上分为两大类,即减少房水的生成和增加房水的流出,前者以应用激光破坏睫状突无 色素上皮细胞为代表,后者以滤过泡依赖的小梁切除术为代表。从传统的小梁切除术到各种微型房水引流装置的 引入,使得青光眼手术变得更简单、操作性更强、手术风险更低,并发症更少。本文主要综述近年来最新的几类房水 微创引流装置的原理、适应证和临床效果,包括小梁网旁路引流装置(iStent、Hydrus Micro-stent)、脉络膜上腔引流装 置(CyPass Micro-Stent,iStent Supra)及结膜下引流装置(XEN凝胶支架,InnFocus MicroShunt)。

关键词: 青光眼, 青光眼引流植入物, 小梁网, 脉络膜上腔, 结膜下

Abstract: Glaucoma surgery is divided into two major categories: reducing the formation of aqueous humor and increasing the flow of aqueous humor. The former one is represented by the laser ablation of the ciliary processes, and the latter one is represented by trabeculectomy. From traditional glaucoma filtering surgery to newer glaucoma procedures, which target different aqueous outflow pathways, the use of glaucoma drainage implants has improved the safety profile of glaucoma surgery and decreased the complications during the operation and post operation, also the surgical techniques have been getting easier than ever. This article systematically reviews the clinical progress of new glaucoma drainage implants including the implants targeting the trabecular network and schlemm’s canal (iStent, Hydrus Micro-stent),the implants targeting the superachoridial space (CyPass Micro-Stent, iStent Supra) and the implants targeting the subconjunctival space (XEN gel stent,InnFocus MicroShunt).

Key words: glaucoma, glaucoma drainage implants, trabecular meshwork, superachoridial space, subconjunctival space