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[摘要]
微创青光眼手术(micro invasive glaucoma surgery,MIGS)是新兴的一类青光眼手术,与传统小梁切除术相比,手术并发症相对少。MIGS按降眼压原理分为三类:减少房水生成术(如内窥镜下激光睫状体光凝术,高强度聚焦超声睫状体成形术),外引流手术(如 EX-PRESS 微型引流钉植入术,Schlemm管成形术),内引流手术(如小梁网微分流支架iStent植入术,内路小梁消融术)。本文将对近年MIGS的优缺点及适应证进行简单综述。
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[Abstract]
The Micro-invasive glaucoma surgery(MIGS)group of operations has been developed in the recent years to reduce some of complications of most standard glaucoma procedures such as trabculectomy. In order to increase the surgical effect, a new group of surgical manners has emerged that seeks to decrease IOP with lower associated rates of complications. The MIGS of the latest technique and devices are presented by three manners of reducing IOP: aqueous reduction surgery(Endoscopic Cyclophotocoagulation, Ultrasound Cyclo-Plasty); external filtering surgery(Implantation of EX-PRESS miniature glaucoma device, CANALOPLASTY); internal filtering surgery(Trabecular microbypass stent, Ab Interno Trabeculectomy). The article will summarize clinically relevant information of the glaucoma treatment and to describe indications, advantages and disadvantages of the MIGS.
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