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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]. 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]. 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
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