青光眼治疗

虽然青光眼无法治愈,但是通常可以通过药物或手术治疗得到充分控制。目前的药物能够减少患者接受手术治疗的几率并且可以成功有效地治疗青光眼。

咨询您的眼科医生、定期进行眼科检查以确保青光眼的控制处于最佳状态。

1 / 激光治疗

激光治疗有利于治疗某种形式的青光眼,尤其是闭角型青光眼。使用激光在虹膜(眼睛的有色部分)制造一个小开口以帮助眼内液体排出。这是一项简单的门诊治疗,只需几分钟即可完成。作为预防措施,手术通常在双眼进行。

2 / 青光眼手术

如果药物无法控制青光眼,尤其是晚期青光眼患者可能需要手术治疗。小梁切除术是一种传统的青光眼手术,通过制造一个旁路通道让液体从眼内排出以降低眼内压。对于之前接受过失败的小梁切除术或患有复杂青光眼的患者,可以考虑植入入外部导管。由于这些手术具有较大风险,因此主要推荐给那些非控制型的青光眼患者。

3 / 微创青光眼手术

随着医疗科技的进步,青光眼手术治疗可以帮助轻度至中度青光眼患者有效控制眼压。由于传统青光眼手术存在较大风险,微创青光眼手术(MIGS) 是一种有利的替代方案。

这项手术侵入性较小、安全性较高且恢复更快。然而,权衡于降低眼压的控制程度和提高安全性方面,微创青光眼手术建议适合于轻度至中度青光眼患者,而不适合严重患者。

4 / MINIMALLY INVASIVE GLAUCOMA SURGERY

Glaucoma surgical treatments have been developed to help those with mild to moderate glaucoma control their eye pressure. Due to the risks involved with traditional glaucoma surgery, the minimally invasive glaucoma system (MIGS) is a favourable surgical alternative, which involves inserting a small device into the eye to increase fluid drainage. This technique is less invasive, has a higher safety profile with fewer issues, and has a faster recovery period. However, there is a trade-off in the degree of pressure lowering control with increased safety, which is why it is recommended for individuals with mild to moderate glaucoma and not suited for severe cases.

Prevention

简单的自我保健可以帮助预防或减缓青光眼的进展。

1. 定期眼科检查和监测:全面的眼科检查有助于早期诊断青光眼。建议 45 岁以上的成年人定期检查眼睛以排除是否患有青光眼。

2. 按照指示使用眼药水:大多数青光眼可以通过药物治疗。定期使用青光眼眼药水造成视神经破环的风险非常低。

青光眼早期检查以制定最佳治疗方法

大多数患者在青光眼早期阶段只出现轻微的症状,直到病情逐渐发展到晚期才意识到青光眼的严重性。青光眼检查对于及早发现病情并开始最佳治疗极为重要。

Dr-Annabel-Chew-photo-web-s

Our Glaucoma Specialist
Dr Annabel Chew

Dr Annabel Chew is the Senior Consultant Ophthalmologist at Lang Eye Centre.

She was formerly a Senior Consultant of the Glaucoma Department at the Singapore National Eye Centre (SNEC), and is currently a Visiting Consultant at SNEC. She completed her medical training with the Faculty of Medicine, National University of Singapore (NUS) in 2005. She completed her Ophthalmology residency training in Singapore and was awarded the Ministry of Health Training Award in 2010 for her specialist training. She obtained her Master of Medicine (Ophthalmology) from NUS in 2011, and her specialist accreditation in Ophthalmology. She qualified as a Fellow of the Academy of Medicine, Singapore (FAMS), and a Fellow of the Royal College of Surgeons of Edinburgh, and successfully completed her glaucoma sub-specialty fellowship training at SNEC.

Dr Chew specialises in cataract surgery and the treatment of general ophthalmology conditions including retinal and corneal diseases. She sub-specialises in glaucoma and has experience in managing patients with complex glaucoma. Her clinical interests include glaucoma lasers, trabeculectomy, tube shunt surgery, minimally invasive glaucoma surgery, cataract surgery, and implantation of toric and multifocal lenses for the correction of myopia, astigmatism and presbyopia.

Dr Chew was the Clinical Director of the Primary Eyecare Clinic and Community Eyecare clinic at SNEC. She was also the lead for community eye investigation units in the Regional Eye Service. She was instrumental in setting up the Glaucoma Observation Clinic (GLOC) at SNEC, and had overseen the planning and implementation of GLOC services at SNEC satellite sites.