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中华眼科医学杂志(电子版) ›› 2022, Vol. 12 ›› Issue (03) : 178 -182. doi: 10.3877/cma.j.issn.2095-2007.2022.03.010

综述

微导管辅助微创青光眼手术研究的新进展
雷蕊莲1, 赵军梅2,(), 唐桂兰2   
  1. 1. 030001 太原,山西医科大学第一临床医学院2019级研究生
    2. 030002 太原,山西省眼科医院青光眼科
  • 收稿日期:2021-06-09 出版日期:2022-06-28
  • 通信作者: 赵军梅
  • 基金资助:
    山西省自然科学基金项目(2015011096)

Advances on the minimally invasive glaucoma surgery assisted by microcatheter

Ruilian Lei1, Junmei Zhao2,(), Guilan Tang2   

  1. 1. Master′s degree 2019, the First Clinical Medical College of Shanxi Medical University, Taiyuan 030001, China
    2. Department of Glaucoma, Shanxi Eye Hospital, Taiyuan 030002, China
  • Received:2021-06-09 Published:2022-06-28
  • Corresponding author: Junmei Zhao
引用本文:

雷蕊莲, 赵军梅, 唐桂兰. 微导管辅助微创青光眼手术研究的新进展[J/OL]. 中华眼科医学杂志(电子版), 2022, 12(03): 178-182.

Ruilian Lei, Junmei Zhao, Guilan Tang. Advances on the minimally invasive glaucoma surgery assisted by microcatheter[J/OL]. Chinese Journal of Ophthalmologic Medicine(Electronic Edition), 2022, 12(03): 178-182.

微创青光眼手术(MIGS)是利用光纤微导管进行青光眼手术的新技术。近年来,因其具有创伤小、可直视下操作、降眼压效果明显、并发症少且恢复快等特点,MIGS已被广泛应用于临床中。MIGS包括微导管辅助下的小梁网张力增强术和小梁网开窗术等。本文中笔者就MIGS在青光眼手术治疗中的应用现状及研究进展进行综述。

The microcatheter assisted minimally invasive glaucoma surgery (MIGS) has been one of the emerging surgeries. In recent years, MIGS has been favored by clinicians with its minimal trauma, because of its direct visual operation, obvious intraocular pressure reduction, fewer complications and rapid recovery for patients. MIGS includes trabecular tension surgery and trabecular tension surgery. The current progress of MIGS in the application of glaucoma surgery treatment were reviewed in this paper.

图1 微导管引导下小梁切开术关键步骤的彩色照像 图A示制作巩膜瓣,暴露并切开Schlemm管外壁;图B示将iTrack光纤微导管插入Schlemm管(箭头所指);图C示iTrack微导管在指示灯的照明下穿行全周Schlemm管;图D示牵拉两端微导管切开全周Schlemm管
[1]
Song P, Wang JW, Bucan K, et al. National and subnational prevalence and burden of glaucoma in China: A systematic analysis[J]. J Glob Health, 2017, 7(2): 20705.
[2]
GBD 2019 Blindness and Vision Impairment Collaborators, Vision Loss Expert Group of the Global Burden of Disease Study. Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020——the right to sight: an analysis for the global burden of disease study[J]. Lancet, 2021, 9(2): e144-e160.
[3]
Richter GM, Coleman AL.Minimally invasive glaucoma surgery: current status and future prospects[J]. Clin Ophthalmol, 2016, 10: 189-206.
[4]
Chen XY, Wang HZ, Wang NL. Update in micro-invasive glaucoma surgery[J]. Ophthalmology, 2014, 23: 64-68.
[5]
王宁利. 迎接青光眼微创手术时代的到来[J]. 眼科201423(1):1-3.
[6]
辛晨,石砚,王怀洲,等.以光纤微导管为工具的青光眼微创手术[J]. 眼科201928(2):85-87.
[7]
Stegmann RC.Visco-canalostomy: a new surgical technique for open angle glaucoma[J].An Inst Barraquer, 1995, 25: 229-232.
[8]
Xin C, Wang RK, Song S, et al. Aqueous outflow regulation: Optical coherencetomography(OCT) imaging implicates pressure dependent tissue motion[J]. Exp Eye Res, 2016, 158(5): 171-186.
[9]
王宁利,王怀洲,洪洁,等.房水流出通路重建术与Schlemm管成形术治疗开角型青光眼的初步临床对比研究[J]. 中华眼科杂志201450(5):338-342.
[10]
Braakman ST, Read AT, Chan DW, et al. Colocalization of out-flow segmentation and pores along the inner wall of Schlemm′s canal[J]. Exp Eye Res, 2015, 130: 87-96.
[11]
Lewis RA, Wolff KV, Tetz M, et al. Canaloplasty: Three-year results of circumferential viscodilation and tensioning of Schlemm canal using a microcatheter to treat open-angle glaucoma[J]. J Cataract Refract Surg, 2011, 37(4): 682-690.
[12]
Grieshaber MC, Pienaar A, Olivier J, et al. Clinical evaluation of the aqueous outflow system in primary open-angle glaucoma for canaloplasty[J]. J Cataract Refract Surg, 2010, 51(3): 1498-1504.
[13]
王怀洲,曹奕雯,赵博文,等.Schlemm管成形术治疗成年人开角型青光眼手术效果一年随访[J]. 眼科201423(1): 22-36.
[14]
刘玥,陈霄雅,李猛,等. Schlemm管成形术治疗成年人开角型青光眼两年随访[J]. 眼科201827(1): 16-20.
[15]
Brusini P. Canaloplasty in open-angle glaucoma surgery: a four-year follow-up[J]. Sci World J, 2014: 1-7.
[16]
Tetz M, Koerber N, Shingleton BJ, et al. Phacoemulsification and intraocular lens implantation before, during, or after canaloplasty in eyes with open-angle glaucoma: 3-year results[J]. J Glaucoma, 2015, 24(3): 187-194.
[17]
Cheng HH, Hu C, Meng JY, et al. Preliminary efficacy of penetrating canaloplasty in primary angle-closure glaucoma[J]. Chinese J Ophthalmol, 2019, 55(6): 448-453
[18]
Klink T, Sauer J, Korber NJ, et al. Quality of life following glaucoma surgery: canaloplasty versus trabeculectomy[J]. Clin Ophthalmol, 2015, 9: 7-16.
[19]
Seuthe AM, Januschowski K, Mariacher S, et al. The effect of canaloplasty with suprachoroidal drainage combined with cataract surgery 1 year results[J]. Acta Ophthalmol, 2018, 96(1): e74-e78.
[20]
Grieshaber MC, Schoetzau A, Grieshaber HR, et al. Canaloplasty with Stegmann canal expander for primary open-angle glaucoma: two-year clinical results[J]. Acta Ophthalmol, 2017, 95(5): 503-508.
[21]
Xin C, Chen XY, Shi Y, et al. Modified canaloplasty: a new, effective, and safe option for glaucoma patients with a disrupted schlemm canal wall[J]. J Glaucoma, 2016, 25(10): 798-801.
[22]
范道青,钟华. 内路粘小管成形术研究进展[J]. 国际眼科纵览201741(3):187-191.
[23]
Francis BA, Akil H, Bert BB. Ab interno Schlemm′s canal surgery[J]. Dev Ophthalmol, 2017, 59: 127-146.
[24]
Khaimi MA.Canaloplasty: a minimally invasive and maximally effective glaucoma treatment[J]. J Ophthalmol, 2015: 1-5.
[25]
Heersink M, Dovich JA. Ab interno canaloplasty combined with trabecular bypass stenting in eyes with primary open-angle glaucoma[J]. Clin Ophthalmol, 2019, 13: 1533-1542.
[26]
Gillmann K, Aref A, Niegowski LJ, et al. Combined Ab interno viscocanaloplasty (ABiC) in open-angle glaucoma: 12-month outcomes[J]. Int Ophthalmol, 2021, 41(10): 3295-3301.
[27]
Kazerounian S, Zimbelmann M, Lortscher M, et al. Canaloplasty AB interno (ABiC) 2-year results of a novel minimally invasive glaucoma surgery (MIGS) technique[J]. Klin Monbl Augenheilkd, 2021, 238(10): 1113-1119.
[28]
Gallardo MJ, Supnet RA, Ahmed LK. Viscodilation of Schlemm′s canal for the reduction of IOP via an AB-interno approach[J]. Clin Ophthalmol, 2018, 12: 2149-2155.
[29]
Davids AM, Pahlitzsch M, Boeker A,et al. Ab interno canaloplasty (ABiC)12-month results of a new minimally invasive glaucoma surgery (MIGS) [J]. Graefes Arch Clin Exp Ophthalmol, 2019, 257(9): 1947-1953.
[30]
Gallardo MJ, Supnet RA, Ahmed LK.Circumferential viscodilation of Schlemm′s canal for open-angle glaucoma: AB-interno vs AB-externo canaloplasty with tensioning suture[J]. Clin Ophthalmol, 2018, 12: 2493-2498.
[31]
中华医学会眼科学分会青光眼学组.我国微导管辅助的360°小梁切开术专家共识(2017年)[J]. 中华眼科杂志201753(3):170-171.
[32]
Ling L, Ji KB, Li P,et al. Microcatheter-assisted circumferential trabeculotomy versus conventional trabeculotomy for the treatment of childhood glaucoma: a meta-analysis[J]. Biomed Res Int, 2020: 1-9.
[33]
Elwehidy AS, Hagras SM, Bayoumi N, et al. Five-year results of viscotrabeculotomy versus conventional trabeculotomy in primary congenital glaucoma: A randomized controlled study[J]. Eur J Ophthalmol, 2021, 31(2): 786-795
[34]
李海军,任静,杨潇远,等.外路全周或部分小梁切开术治疗原发性先天性青光眼患者对照研究[J]. 眼科新进展202040(12):1143-1146.
[35]
El Sayed YM, Gawdat G. Microcatheter-assisted trabeculotomy versus 2-site trabeculotomy with the rigid probe trabeculotome in primary congenital glaucoma[J]. J Glaucoma, 2018, 7(4): 371-376.
[36]
Shi Y, Wang HZ, Yin J, et al. Microcatheter-assisted trabeculotomy versus rigidprobe trabeculotomy in childhood glaucoma[J]. Br J Ophthalmol, 2016, 100: 1257-1262.
[37]
El Sayed YM, Gawdat G. Two-year results of microcatheter-assisted trabeculotomy inpaediatric glaucoma: a randomized controlled study[J]. Acta Ophthalmol, 2017, 95(8): e713-e719.
[38]
Lim ME, Dao JB, Freedman SF. 360-degree trabeculotomy for medically refractory glaucoma following cataract surgery and juvenile open-Angle glaucoma[J]. Am J Ophthalmol, 2017, 175: 1-7.
[39]
王博,狄浩浩,杨潇远. 微导管引导的外路小梁切开术治疗儿童青光眼的短期疗效[J]. 眼科201928(3):178-181.
[40]
中华医学会眼科学分会青光眼学组. 微导管辅助的次全小梁切开术操作规范[J]. 眼科201726(1):3-4.
[41]
王宁利,王怀洲.注重儿童抗青光眼手术方式及适应证的选择[J]. 中华眼科杂志201955(5):321-324.
[42]
Hu M, Wang HZ. Microcatheter-assisted T congenital rabeculotomy for primary glaucoma after failed glaucoma surgeries[J]. J Glaucoma, 2019, 28(1): 1-6.
[43]
王怀洲,李猛,胡曼,等.微导管引导的小梁切开术治疗多次手术失败的儿童青光眼的疗效观察 [J] . 中华眼科杂志201753(3):203-206.
[44]
王怀洲,胡曼.微导管辅助的小梁切开术治疗原发性先天性青光眼的远期疗效观察[J]. 眼科20202(1):15-19.
[45]
Shi Y, Wang HZ, Yin J,et al. Outcomes of microcatheter-assisted trabeculotomy following failed angle surgeries in primary congenital glaucoma[J]. Eye, 2017, 31(1): 132-139.
[46]
Grover DS, Godfrey DG, Smith O, et al. Gonioscopy-assisted transluminal trabeculotomy, AB interno trabeculotomy: technique report and preliminary results[J]. Ophthalmology, 2014, 121(4): 855-861.
[47]
Yalinbas D, Dilekmen N, Hepsen IF. Comparison of AB externo and AB interno 360-degree suture trabeculotomy in adult open-angle glaucoma[J]. J Glaucoma, 2020, 29(11): 1088-1094.
[48]
石砚,王怀洲,尹鹏,等.微导管引导的内路小梁切开术治疗原发性先天性青光眼六个月的疗效[J]. 眼科201928:165-168.
[49]
Baykara M, Poroy C, Erseven C. Surgical outcomes of combined gonioscopy-assisted transluminal trabeculotomy and cataract surgery[J]. Indian J Ophthalmol, 2019, 67(4): 505-508.
[50]
Yalinbas D, Aktas Z, Hepsen I, et al. An unusual complication of combined gonioscopy-assisted transluminal trabeculotomy and phacoemulsification: vision loss due to intracapsular hematoma[J]. Int Ophthalmol, 2018, 38(5): 2223-2226.
[51]
Bozkurt E, Yenihayat F, Olgun A, et al. The efficacy of gonioscopy-assisted transluminal trabeculectomy combined with phacoemulsification[J]. Int Ophthalmol, 2021, 41(1): 35-43.
[52]
Tanate CA. Outcomes of combined gonioscopy-assisted transluminal trabeculotomy and goniosynechialysis in primary angle closure: a retrospective case series[J]. Int Ophthalmol, 2021, 41(4): 1223-1231.
[53]
Habash AA, Alrushoud M, Abdulsalam OA, et al. Combined gonioscopy-assisted transluminal trabeculotomy (GATT) with AB interno canaloplasty (ABiC) in conjunction with phacoemulsification: 12-month outcomes[J]. Clin Ophthalmol, 2020, 14: 2491-2496.
[54]
尹鹏,石砚,王一玮,等. 微导管辅助的内路部分黏小管成形联合内路部分小梁切开术与内路全周小梁切开术的早期疗效对比[J]. 眼科202029(4):304-308.
[55]
辛晨,石砚,尹鹏,等.国产光纤微导管与进口导管在青光眼微创手术中的性能对比[J]. 眼科201928(2):95-97.
[56]
程欢欢,邓宇轩,古娟,等.国产眼科光纤导管在穿透性黏小管成形术中应用的六个月效果[J]. 眼科201928(3):182-185.
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