CAJ | 학술논문

Schlemm管成形术(canaloplasty)作为一种新的非穿透性手术越来越引起人们的重视,它通过扩张Schlemm管重建自然房水外流通道以加强房水外流,从而达到降低眼压的目的.Schlemm管成形术手术成功率在原发性开角型青光眼与小梁切除术类似.其优点包括:降眼压作用是非滤过泡依赖性的,术中不需要使用抗代谢药物,因而与滤过泡相关的并发症极低.但这项新技术大范围应用于临床仍有很长的路要走.
Schlemm관성형술(canaloplasty)작위일충신적비천투성수술월래월인기인문적중시,타통과확장Schlemm관중건자연방수외류통도이가강방수외류,종이체도강저안압적목적.Schlemm관성형술수술성공솔재원발성개각형청광안여소량절제술유사.기우점포괄:강안압작용시비려과포의뢰성적,술중불수요사용항대사약물,인이여려과포상관적병발증겁저.단저항신기술대범위응용우림상잉유흔장적로요주.
As a non-penetrating glaucoma surgery (NPGS), canaloplasty has aroused a growing number of attention, which aims to restore the physiological outflow by dilating the Schlemm' s canal, thus facilitating aqueous outflow to treat glaucoma.The success rate of canaloplasty is equal to trabeculectomy in primary open angle glaucoma.The surgery shows lots of advantages : the effect of intraocular pressure-reducing is non-bleb related, no filtering blebs were detected, no antimetabolites were required during surgery,thus leading a low rate of bleb-related complications.However there is a long way to apply the new technical in clinic.