急性房角关闭的手术治疗
研究表明手术可缓解急性房角关闭的发作，例如前房穿刺术可以迅速降低眼压，消除角膜水肿，以便行激光虹膜周切术。还有一些报告推荐激光周边虹膜成形术、角膜压痕及白内障或透明晶状体摘除术。[55]Masselos K, Bank A, Francis IC, et al. Corneal indentation in the early management of acute angle closure. Ophthalmology. 2009;116:25-29.http://www.ncbi.nlm.nih.gov/pubmed/18962918?tool=bestpractice.com[56]Lam DS, Tham CC, Lai JS, et al. Current approaches to the management of acute primary angle closure. Curr Opin Ophthalmol. 2007;18:146-151.http://www.ncbi.nlm.nih.gov/pubmed/17301617?tool=bestpractice.com
慢性闭角型青光眼的手术治疗
慢性闭角型青光眼的治疗与开角型青光眼相似。近年来关于治疗慢性闭角型青光眼的新的手术方法有Ex-PRESS植入术、管道成形术、小梁消融术、小梁微管支架术。[57]Francis BA, Singh K, Lin SC, et al. Novel glaucoma procedures: a report by the American Academy of Ophthalmology. Ophthalmology. 2011;118:1466-1480.http://www.ncbi.nlm.nih.gov/pubmed/21724045?tool=bestpractice.com[58]Chai C, Loon SC. Meta-analysis of viscocanalostomy versus trabeculectomy in uncontrolled glaucoma. J Glaucoma. 2010;19:519-527.http://www.ncbi.nlm.nih.gov/pubmed/20179632?tool=bestpractice.com[59]Wang X, Khan R, Coleman A. Device-modified trabeculectomy for glaucoma. Cochrane Database Syst Rev. 2015;(12):CD010472.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD010472.pub2/abstracthttp://www.ncbi.nlm.nih.gov/pubmed/26625212?tool=bestpractice.com
