难治性青光眼的治疗现状

难治性青光眼是眼科常见病,常见病因包括多次滤过手术失败、新生血管性青光眼、角膜移植术后继发性青光眼等。因其病因复杂,病情多变,治疗手段虽较多,但疗效较差,常因药物耐受、滤过术后瘢痕阻塞通道等导致手术失败。针对难治性青光眼的特征,一些改良术式及联合术式逐渐应用,如复合式小梁切除术、脉络膜上腔引流术、房角金环植入术及全视网膜光凝联合avastin球内注射等。就难治性青光眼的各种治疗方法、临床疗效及术后并发症等进行综述。

The current treatment of refractory glaucoma

Refractory glaucoma is a common eye disease,including the failure of filtration surgery,neovascular glaucoma,secondary glaucoma after penetrating keratoplasty,etc..The cause of refractory glaucoma is complex,and the disease process is variable.Although more treatment,the poor efficacy of conventional surgery often is obtained because of resistance to drug,scar of filtration surgery to lead to surgical failure.A number of improved operation techniques for refractory glaucoma,such as the compound trabeculectomy,suprachoroidal drainage,gold ring implantation angle,panretinal photocoagulation combined with avastin ball injection,etc.,have been gradually applied in clinic.This article reviews the relevant domestic and abroad literature,clinical efficacy and postoperative complication in the treatment of refractory glaucoma.