WANG Ling,FAN Fang,JIA Zhiyang.Research progress of anti-scar treatment in glaucoma filtering surgery[J].Recent Advances in Ophthalmology,2020,40(11):1084-1089.[doi:10.13389/j.cnki.rao.2020.0242]





Research progress of anti-scar treatment in glaucoma filtering surgery
050051 河北省石家庄市,河北省人民医院(王玲, 樊芳,贾志旸);063210 河北省唐山市,华北理工大学(王玲)
WANG Ling12FAN Fang1JIA Zhiyang1
1.Hebei General Hospital, Shijiazhuang 050051,Hebei Province,China
2.North China University of Science and Technology, Tangshan 063210,Hebei Province,China
glaucomafiltration surgeryfibrosisanti-scar therapy
青光眼滤过性手术(glaucoma filtration surgery,GFS)作为抗青光眼的主要术式在临床上得到了广泛应用,但术后滤过泡的瘢痕化是导致手术失败的主要原因。术中及术后使用抗代谢药物如5-氟尿嘧啶(5-fluorouracil,5-FU)和丝裂霉素C(mitomycin-C,MMC)虽然有一定效果,但其具有威胁视力的严重并发症。为进一步提高GFS的成功率,抗瘢痕化治疗成为近年来的研究热点。本文对近年来青光眼滤过性手术的抗瘢痕化药物及新型材料的研究进行了综述,为临床中寻找抗瘢痕化效率高、不良反应少、安全性好的药物或材料提供了新的思路和方法。
Glaucoma filtration surgery (GFS) has been widely used in clinic as a major anti-glaucoma operation, but the scarring of the postoperative filtering bleb is the main reason for the failure of the operation. Intraoperative or postoperative use of antimetabolites such as 5-fluorouracil or mitomycin-c has been shown to be effective. However, it has serious complications that threaten vision. In order to improve the success rate of glaucoma filtration surgery, anti-scar therapy has become a research focus in recent years. This thesis reviews the research on anti-scar drugs and new materials for GFS in recent years, providing new ideas and methods for finding drugs or materials with high anti-scar efficiency, less side effects and good safety in clinic.


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更新日期/Last Update: 2020-11-05