摘要粘小管手术是一类经粘小管引流房水的手术的统称.因其并发症少,尤其是无滤过道瘢痕化等问题日益受到人们的重视.但面对不断涌现的各种术式,临床医师必需客观理性地认识.本文阐述了粘小管与房水阻力及青光眼之间的关系、临床上所观察到的青光眼患者中存在的粘小管结构与功能的异常、手术的演变、各类粘小管手术(小梁切开术、小梁消融术、iStent植入术、激光小梁打孔术、粘小管成形术和黏弹物质小管切开术)的设计原理及效果以及目前存在的问题,以期提高临床医师对这类手术的认识.

abstractsThe surgery related to the schlemm's canal is characterized by draining aqueous homur from natural pathway.It is widely accepted by ophthalmologists due to less complications and no need for concern about the scar formation.But we should understand these emerging and evolving technologies rationally.In the article,some topics were discussed,including the relationship between schlemm's canal and glaucoma,evolution,principle and effect of these surgeries,some dilemma problems and the expectations for the future.We hope it would help the ophthalmologist to understand this type of surgeries.