青光眼是一组以视网膜神经节细胞进行性丧失、视神经萎缩、视野缺损为共同特征的疾病，眼压升高及神经损伤的机制尚未完全明确。自噬是溶酶体对自身细胞质成分的吞噬、降解以及再利用的过程。自噬与青光眼的发生和发展有着密切联系，相关研究涉及眼部组织对高眼压的应激反应、视盘重塑、免疫调节、异常蛋白清除以及瘢痕调控等诸多方面。本文回顾了自噬在青光眼发生和发展中作用的相关文献，特别关注了自噬与小梁网、视网膜神经节细胞、剥脱综合征以及青光眼滤过性手术后瘢痕化的研究进展，为今后进一步认识青光眼的发病机制奠定基础，同时为今后青光眼的临床诊治提供新的思路。“,”Glaucoma is a chronic neurodegenerative disease of the optic nerve accompanied by apoptosis of the retinal ganglion cells, atrophy and depression of the optic nerve, and visual field loss.However, the mechanism of high intraocular pressure and glaucomatous optic neuropathy has not yet been elucidated.Autophagy is a lysosomal degradative process, which eliminates bulk cytoplasmic constituents.In recent years, a large number of studies have shown autophagy to be closely related to the occurrence and development of glaucoma.These studies examined the stress response of ocular tissues to high intraocular pressure, optic nerve protection, optic disc remodeling, immune regulation, abnormal protein removal and scar regulation.This article summarizes the relationship between autophagy and glaucoma, and pays special attention to the progress of research concerning autophagy in the trabecular meshwork, retinal ganglion cells, exfoliation syndrome, and scarring after glaucoma filtering surgery.It will lay a foundation for a deeper understanding of glaucoma pathogenesis and provide a new idea for diagnosing and treating glaucoma in the future.