[1]何海龙,王进达,万修华.晶状体摘出术:降低眼压的新途径?[J].眼科新进展,2019,39(8):795-800.[doi:10.13389/j.cnki.rao.2019.0181]
 HE Hai-Long,WANG Jin-Da,WAN Xiu-Hua.Lens extraction:a new way to lower the intraocular pressure[J].Recent Advances in Ophthalmology,2019,39(8):795-800.[doi:10.13389/j.cnki.rao.2019.0181]
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晶状体摘出术:降低眼压的新途径?/HTML
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《眼科新进展》[ISSN:1003-5141/CN:41-1105/R]

卷:
39卷
期数:
2019年8期
页码:
795-800
栏目:
文献综述
出版日期:
2019-08-05

文章信息/Info

Title:
Lens extraction:a new way to lower the intraocular pressure
作者:
何海龙王进达万修华
100005 首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科研究所 北京市眼科学与视觉科学重点实验室
Author(s):
HE Hai-LongWANG Jin-DaWAN Xiu-Hua
Beijing Institute of Ophthalmology,Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Key Laboratory of Ophthalmology and Visual Sciences,Beijing 100005,China
关键词:
晶状体摘出术青光眼眼压
Keywords:
cataract extractionglaucomaintraocular pressure
分类号:
R775.2
DOI:
10.13389/j.cnki.rao.2019.0181
文献标志码:
A
摘要:
晶状体超声乳化摘出术治疗原发性闭角型青光眼(primary angle-closure glaucoma,PACG)可以有效加深前房,扩大房角,降低眼压(intraocular pressure,IOP);研究表明晶状体摘出术对于原发性开角型青光眼(primary open-angle glaucoma,POAG)、剥脱性青光眼等也可以有效地降低IOP。关于透明晶状体摘出术作为PACG治疗的方式一直存在着过度医疗等争议,但随着研究的不断深入,透明晶状体摘出术的安全性和有效性逐渐被证实。
Abstract:
Phacoemulsification surgery can effectively deepen the anterior chamber,widen the drainage angle and lower the intraocular pressure (IOP) in primary angle-closure glaucoma (PACG) patients.Studies have shown that lens extraction can also reduce IOP for primary open-angle glaucoma (POAG) and pseudoexfoliation syndrome (PEX).There has been controversy about overtreatment of clear lens extraction for PACG.However,with the development of research,the safety and effectiveness of clear lens extraction have been gradually confirmed.

参考文献/References:

[1] KING A,AZUARABLANCO A,TUULONEN A.Glaucoma[J].Br J Ophthalmol,2013,346(2):900-903.
[2] THAM Y C,LI X,WONG T Y,QUIGLEY H A,AUNG T,CHENG C Y.Global prevalence of glaucoma and projections of glaucoma burden through 2040:a systematic review and meta-analysis[J].Ophthalmology,2014,121(11):2081-2090.
[3] QUIGLEY H A,BROMAN A T.The number of people with glaucoma worldwide in 2010 and 2020[J].Br J Ophthalmol,2006,90(3):262-267.
[4] SONG P,WANG J,BUCAN K,THEODORATOU E,RUDAN I,CHAN K Y.National and subnational prevalence and burden of glaucoma in China:A systematic analysis[J].J Glob Health,2017,7(2):020705.
[5] JR P B,JR H L,MOROI S E,MANSBERGER S L,STEIN J D,LIM M C.Primary angle closure preferred practice pattern? guidelines.Ophthalmology,123(1),P1-P40.Primary angle closure preferred practice pattern? guidelines[J].Ophthalmology,2015,123(1):1-40.
[6] POLEY B J,LINDSTROM R L,SAMUELSON T W,JR S R.Intraocular pressure reduction after phacoemulsification with intraocular lens implantation in glaucomatous and nonglaucomatous eyes:Evaluation of a causal relationship between the natural lens and open-angle glaucoma[J].J Cataract Refract Surg,2009,35(11):1946-1955.
[7] WEI K N,TAN C S H.Effect of bilateral sequential cataract extraction on intraocular pressure in non-glaucomatous asian eyes[J].Br J Ophthalmol,2016,100(4):560-564.
[8] CHANG I T,GUPTA D,SLABAUGH M A,VEMULAKONDA G A,CHEN P P.Combined Ahmed glaucoma valve placement,intravitreal fluocinolone acetonide implantation and cataract extraction for chronic uveitis[J].J Glaucoma,2016,25(10):842-846.
[9] RAI A S,Shohamhazon N,Christakis P G,Rai A S,Ahmed I.Comparison of the Ahmed and baerveldt glaucoma shunts with combined cataract extraction[J].Can J Ophthalmol,2018,53(2):124-130.
[10] FERGUSON T J,SWAN R,IBACH M,SCHWEITZER J,SUD-HAGONI R,BERDAHL J P.Evaluation of a trabecular microbypass stent with cataract extraction in severe primary open-angle glaucoma[J].J Glaucoma,2018,27(1):71-76.
[11] FERGUSON T J,SWAN R,SUDHAGONI R,BERDAHL J P.Microbypass stent implantation with cataract extraction and endocyclophotocoagulation versus microbypass stent with cataract extraction for glaucoma[J].J Cataract Refract Surg,2017,43(3):377-382.
[12] ROBERTS S J,MULVAHILL M,SOOHOO J R,PANTCHEVA M B,KAHOOK M Y,SEIBOLD L K.Efficacy of combined cataract extraction and endoscopic cyclophotocoagulation for the reduction of intraocular pressure and medication burden[J].Int J Ophthalmol,2016,9(5):693-698.
[13] LEE R Y,KASUGA T,CUI Q N,HUANG G,WANG S Y,LIN S C.Ethnic differences in intraocular pressure reduction and changes in anterior segment biometric parameters following cataract surgery by phacoemulsification[J].Clin Experiment Ophthalmol,2013,41(5):442-449.
[14] NGO W K,TAN C S.Intraocular pressure reduction after cataract extraction in normal eyes:influence of ethnicity and anterior segment parameters-comment[J].Clin Experiment Ophthalmol,2014,42(5):507-507.
[15] RRA B,FLAXMAN S R,BRAITHWAITE T,CICINELLI M V,DAS A,JONAS J B,et al.Magnitude,temporal trends,and projections of the global prevalence of blindness and distance and near vision impairment:a systematic review and meta-analysis[J].Lancet Glob Health,2017,5(9):e888-e897.
[16] THOMAS R,PARIKH R,MULIYIL J,MULIYIL J,JACOB A A.Five-year risk of progression of primary angle closure to primary angle closure glaucoma:a population-based study[J].Br J Ophthalmol,2003,81(5):480-485.
[17] EPHREM M,PETERSON J R,FELDMAN R M,BAKER L A,BELL N P,CHUANG A Z,et al.Comparing laser peripheral iridotomy to cataract extraction in narrow Angle Eyes Using Anterior Segment Optical Coherence Tomography[J].PLoS One,2016,11(9):e0162283.
[18] ZYOL P,ZYOL E,SL S,AVDAR S.Intraocular pressure fluctuation after cataract surgery in primary angle-closure glaucoma eyes medically controlled after laser iridotomy[J].Acta Ophthalmol,2016,94(7):e528.
[19] WEINREB R N,AUNG T,MEDEIROS F A.The pathophysiology and treatment of glaucoma:a review[J].JAMA,2014,311(18):1901-1911.
[20] SHAMS P N,FOSTER P J.Clinical outcomes after lens extraction for visually significant cataract in eyes with primary angle closure.[J].J Glaucoma,2012,21(8):545-550.
[21] THOMAS R,WALLAND M,THOMAS A,MENGERSEN K.Lowering of intraocular pressure after phacoemulsification in Primary Open-Angle and Angle-Closure Glaucoma:A Bayesian Analysis[J].Asia Pac J Ophthalmol,2016,5(1):79-84.
[22] CHEN P P,LIN S C,JUNK A K,RADHAKRISHNAN S,SINGH K,CHEN T C.The effect of phacoemulsification on intraocular pressure in glaucoma patients:a report by the American Academy of Ophthalmology[J].Ophthalmology,2015,122(7):1294-1307.
[23] ARMSTRONG J J,WASIUTA T,KIATOS E,MALVANKAR-MEHTA M,HUTNIK C M L.The effects of phacoemulsification on intraocular pressure and topical medication use in patients with glaucoma:a systematic review and meta-analysis of 3-year data[J].J Glaucoma,2017,26(6):511-522.
[24] MANSBERGER S L,GORDON M O,JAMPEL H,BHORADE A,BRANDT J D,WILSON B,et al.Reduction in intraocular pressure after cataract extraction:the Ocular Hypertension Treatment Study[J].Ophthalmology,2012,119(9):1826-1831.
[25] ALMUGHEIRY T S,CATE H,CLARK A,BROADWAY D C.Microinvasive Glaucoma Stent (MIGS) surgery with concomitant phakoemulsification cataract extraction:outcomes and the learning curve[J].J Glaucoma,2017,26(7):646-651.
[26] SCHARFENBERG E,SCHLTZER-SCHREHARDT U.PEX syndrome.Clinical diagnosis and systemic manifestations[J].Ophthalmologe,2012,109(10):952-961.
[27] JACOBI P C,DIETLEIN T S,KRIEGLSTEIN G K.Bimanual trabecular aspiration in pseudoexfoliation glaucoma:an alternative in nonfiltering glaucoma surgery[J].Ophthalmology,105(5):886-894.
[28] KRISTIANSLUND O,STERN A E,REN M,SANDVIK G F,DROLSUM L.Does cataract surgery reduce the long-term risk of glaucoma in eyes with pseudoexfoliation syndrome?[J].Acta Ophthalmol,2016,94(3):261-265.
[29] FERGUSON T J,SWAN R,IBACH M,SCHWEITZER J,SUDHA-GONI R,BERDAHL J P.Trabecular microbypass stent implantation with cataract extraction in pseudoexfoliation glaucoma[J].J Cataract Refract Surg,2017,43(5):622-626.
[30] BROWN R H,ZHONG L,LYNCH M G.Lens-based glaucoma surgery:Using cataract surgery to reduce intraocular pressure[J].J Cataract Refract Surg,2014,40(8):1255-1262.
[31] MEI L,ZHONGHAO W,ZHEN M,YIMIN Z,XING L.Lens thickness and position of primary angle closure measured by anterior segment optical coherence tomography[J].J Clin Exp Ophthalmol,2013,4:281.
[32] BAIG N,KAM K W,THAM C C Y.Managing primary angle closure glaucoma-the role of lens extraction in this era[J].Open Ophthalmol J,2016,10:86-93.
[33] NAPIER M L,AZUARABLANCO A.Changing patterns in treat-ment of angle closure glaucoma[J].Curr Opin Ophthalmol,2017:1.
[34] POSEBAZARRA S,AZUARABLANCO A.Role of lens extraction and laser peripheral iridotomy in treatment of glaucoma[J].Curr Opin Ophthalmol,2018,29(1):96-99.
[35] AZUARA-BLANCO A,BURR J,RAMSAY C,COOPER D,FOSTER P J,FRIEDMAN D S,et al.Effectiveness of early lens extraction for the treatment of primary angle-closure glaucoma (EAGLE):a randomised controlled trial.[J].Lancet,2016,388(10052):1389.
[36] JAVANBAKHT M,AZUARABLANCO A,BURR J M,RAMSAY C,COOPER D,COCHRAN C,et al.Early lens extraction with intraocular lens implantation for the treatment of primary angle closure glaucoma:an economic evaluation based on data from the EAGLE trial[J].BMJ Open,2017,7(1):e013254.
[37] SIHOTA R.Treatment of primary angle-closure glaucoma:Does early lens extraction help?[J].Natl Med J India,2017,30(2):78-79.
[38] DAY A C,COOPER D,BURR J,FOSTER P J,FRIEDMAN D S,GAZZARD G,et al.Clear lens extraction for the management of primary angle closure glaucoma:surgical technique and refractive outcomes in the EAGLE cohort[J].Br J Ophthalmol,2018,102(12):1658-1662.
[39] MAN X,CHAN N C Y,BAIG N,KWONG Y Y,LEUNG D Y,LI F C,et al.Anatomical effects of clear lens extraction by phacoemulsification versus trabeculectomy on anterior chamber drainage angle in primary angle-closure glaucoma (PACG) patients[J].Graefes Arch Clin Exp Ophthalmol,2015,253(5):773-778.
[40] DADA T,RATHI A,ANGMO D,AGARWAL T,VANATHI M,KHOKHAR S K,et al.Clinical outcomes of clear lens extraction in eyes with primary angle closure[J].J Cataract Refract Surg,2015,41:1470-1477.
[41] BARBOSA D T,LEVISON A L,LIN S C.Clear lens extraction in angle-closure glaucoma patients[J].Int J Ophthalmol,2013,18,6(3):406-408.
[42] KE S,YOU Z,WANG C.Clear lens extraction for early angle-closure glaucoma:revolution or overtreatment[J]?Med Princ Pract,2017,26(3):297-298.
[43] LAW S K,RIDDLE J.Management of cataracts in patients with glaucoma[J].Int Ophthalmol Clin,2011,51(3):1-18.
[44] LEE W,BAE H W,LEE S H,KIM C Y,SEONG G J,et al.Correlations between preoperative angle parameters and postoperative unpredicted refractive errors after cataract surgery in open angle glaucoma (AOD 500)[J].Yonsei Med J,2017,58(2):432-438.
[45] TRAVERSO C E.Clear-lens extraction as a treatment for primary angle closure[J].Lancet,2016,388(10052):1352-1354.
[46] KO Y C,LIU C J,LAU L I,WU C W,CHOU J C,HSU W M.Factors related to corneal endothelial damage after phacoemulsification in eyes with occludable angles[J].J Cataract Refract Surg,2008,34:46-51.
[47] CETINKAYA S,CETINKAYA Y F,DADACI Z,ACIK N O.Phacoemulsification in eyes with cataract and pseudoexfoliation syndrome[J].Int J Ophthalmol,2016,16(6):1009-1013.
[48] WALLAND M J,PARIKH R S,THOMAS R.There is insufficient evidence to recommend lens extraction as a treatment for primary open-angle glaucoma:an evidence-based perspective[J].Clin Exp Ophthalmol,2012,40(4):400-407.
[49] LIU L.There is insufficient evidence to recommend lens extraction as a treatment for primary open-angle glaucoma:an evidence-based perspective-comment[J].Clin Exp Ophthalmol,2012,40(6):647-648.
[50] LEE J W,MORALES E,YU F,AFIFI A A,KIM E A,ABDOLLAHI N,et al.Effect of cataract extraction on the visual field decay rate in patients with glaucoma[J].JAMA Ophthalmol,2014,132(11):1296-1302.
[51] MAN X F,TAN Z Y,LIANG Y B.Clear lens extraction for primary angle closure glaucoma[J].Ophthalmol CHN,2013,22(1):6-9.
满晓飞,谭智勇,梁远波.透明晶状体摘除治疗原发性闭角型青光眼[J].眼科,2013,22(1):6-9.

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更新日期/Last Update: 2019-07-31