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摘要


青光眼為可能會致盲的疾病,目前的致盲率在全世界名前矛。治療方式包含藥物治療,雷射治療,以及手術治療,透過維持平穩眼壓的方式,來維持病患的視覺功能。手術方式分為傳統的小樑網濾過性手術(trabeculectomy),導管植入手術(tube-shunt implant),以及微創手術(minimally-invasive glaucoma surgery, MIGS)。傳統小樑網濾過性手術是在黑白眼球交界處的組織做部分切除,形成一個排水的通道,而切開的鞏膜皮瓣及結膜組織需要透過縫合才能製造出一個蓄水和排水的通道,經由縫線的鬆緊來調整通道阻力,是決定手術後眼壓的一項重要步驟。但傳統手術之早期和晚期病發症,以及因人體結痂功能差異容易影響成功率,導致手術後視力和眼壓數值不穩定。本文針對微創手術MIGS做介紹,術後效果呈現,以及可能的併發症來做討論。

參考文獻


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