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超声睫状体成形术治疗青光眼的临床应用研究进展

施欢洋 李妍霖 葛坚 左成果

眼科学报2024,Vol.39Issue(8):395-401,7.
眼科学报2024,Vol.39Issue(8):395-401,7.DOI:10.12419/24071504

超声睫状体成形术治疗青光眼的临床应用研究进展

Research progress on clinical application of ultrasound cycloplasty in the treatment of glaucoma

施欢洋 1李妍霖 1葛坚 1左成果1

作者信息

  • 1. 中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州 510060
  • 折叠

摘要

Abstract

Glaucoma is the leading cause of irreversible blindness worldwide.Lowering intraocular pressure(IOP)is the only proven intervention to effectively prevent visual field deterioration and slow the progression of glaucoma.Surgery plays a critical role in reducing IOP,with traditional glaucoma surgeries focusing primarily on classic filtration procedures.In recent years,minimally invasive glaucoma surgeries(MIGS),characterized by less trauma,milder postoperative inflammation,and fewer complications,have been increasingly applied and continuously refined in clinical practice.Ultrasound cycloplasty(UCP)is a novel,minimally invasive technique for glaucoma treatment.This article reviews existing research both domestically and internationally,showing that UCP demonstrates good IOP-lowering effects in various types of glaucoma,though its efficacy varies across different glaucoma types.UCP reduces the need for postoperative anti-glaucoma medications,while also exhibiting fewer complications and milder postoperative reactions.Compared with other ciliary body function-reducing surgeries,UCP is particularly effective in alleviating local pain caused by elevated IOP in patients with refractory glaucoma.The type of Glaucoma,matching of the ultrasound probe model,and the number of treatment sectors are key factors influencing UCP efficacy.Accurate selection of indications and optimization of surgical parameters will further enhance its therapeutic outcomes.This article summarizes the mechanisms,surgical procedures,postoperative medication,indications and contraindications,efficacy,safety,and factors influencing UCP outcomes in glaucoma treatment,aiming to provide a reference for its clinical application and research.

关键词

青光眼/超声睫状体成形术/高强度聚焦超声

Key words

glaucoma/ultrasound cycloplasty/high-intensity focused ultrasound

分类

医药卫生

引用本文复制引用

施欢洋,李妍霖,葛坚,左成果..超声睫状体成形术治疗青光眼的临床应用研究进展[J].眼科学报,2024,39(8):395-401,7.

眼科学报

1000-4432

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