《青光眼手术治疗指南解读 》培训课件.pptVIP

青光眼手术治疗指南解读 1. Terminology and guidelines for glaucoma. European Glaucoma Society. 4th Edition. 2. Asia-Pacific Glaucoma Guidelines. Asia-Pacific Glaucoma Society. 3. Prum BE, Jr., Herndon LW, Jr., Moroi SE, et al. Primary Angle Closure Preferred Practice Pattern((R)) Guidelines. Ophthalmology 2016;123(1):P1-P40. 1 2 抗青光眼手术整体原则 抗青光眼手术类型 目录 1. Terminology and guidelines for glaucoma. European Glaucoma Society. 4th Edition. 2. Asia-Pacific Glaucoma Guidelines. Asia-Pacific Glaucoma Society. 3. Prum BE, Jr., Herndon LW, Jr., Moroi SE, et al. Primary Angle Closure Preferred Practice Pattern((R)) Guidelines. Ophthalmology 2016;123(1):P1-P40. 一、抗青光眼手术整体原则 不同类型的抗青光眼手术有不同的手术适应症，主要依赖于： 为个人设定的目标眼压水平 既往病史（手术史，用药史，视野损伤的程度） 危险因素（独眼，职业，屈光状态） 手术者的经验和个人偏好 患者的意见，期望以及术后随访依从性 1. Terminology and guidelines for glaucoma. European Glaucoma Society. 4th Edition. 2. Asia-Pacific Glaucoma Guidelines. Asia-Pacific Glaucoma Society. 3. Prum BE, Jr., Herndon LW, Jr., Moroi SE, et al. Primary Angle Closure Preferred Practice Pattern((R)) Guidelines. Ophthalmology 2016;123(1):P1-P40. 如何选择手术类型？ 根据发表的临床试验结果 患者的依从性（涉及复查、随访） 青光眼的严重程度 1. Terminology and guidelines for glaucoma. European Glaucoma Society. 4th Edition. 2. Asia-Pacific Glaucoma Guidelines. Asia-Pacific Glaucoma Society. 3. Prum BE, Jr., Herndon LW, Jr., Moroi SE, et al. Primary Angle Closure Preferred Practice Pattern((R)) Guidelines. Ophthalmology 2016;123(1):P1-P40. 什么情况下才考虑手术治疗？ 只要药物或者激光治疗不能维持患者青光眼残存的视功能，就可以考虑抗青光眼手术。 抗青光眼手术不应该被视为最后的治疗手段。 比如：闭角型青光眼，激光周切或手术周切为首选治疗措施；而，先天性青光眼，首选小梁切开或房角切开术等。 1. Terminology and guidelines for glaucoma. European Glaucoma Society. 4th Edition. 2. Asia-Pacific Glaucoma Guidelines. Asia-Pacific Glaucoma Society. 3. Prum BE, Jr., Herndon LW, Jr., Moroi SE, et al. Primary Angle Closure Preferred Practice Pattern((R)) Guidelines. Ophthalmology 2016;123(1):P1-P40. 什么情况下才考虑手术治疗？ 对于已经做过多次手术者，睫状体破坏性手术或房水引流阀植入术会常常用到； Glaucoma : includes medical diagnosis and therapy and surgical. Elsevier