难治性青光眼病因十分复杂,眼部组织结构破坏明显,是一种应用常规抗青光眼手术,效果较差的眼科疾病。手术失败主要原因是滤过口处成纤维细胞增殖以及瘢痕形成使滤过口阻塞。现将国内外新近有关难治性青光眼治疗的改良滤过性手术、房水引流装置植入术、激光睫状体光凝术等手术方法的报道进行回顾并作一简单综述。

Refractory glaucoma has complicated causes and lower successful rate in routine filter rating surgery with obvious ocular tissue structure destruction. The major cause of failure is occlusion in filter rating canal by fibroblast proliferation and scar. This article reviews the method, effect and complications of improved surgical treatments reported both at home and abroad.