Expert recommendation on the management of perioperative hyphema and intraocular pressure spike following goniotomy
10.3760/cma.j.cn115989-20240602-00141
- VernacularTitle:房角切开术围手术期前房出血及术后一过性眼压升高管理方案专家推荐意见
- Author:
Xiulan ZHANG
1
;
Xiaojing PAN
;
Min KE
;
Li TANG
;
Lin XIE
;
Liming TAO
;
Sujie FAN
;
Guangxian TANG
;
Xuanchu DUAN
;
Huiping YUAN
Author Information
1. 中山大学中山眼科中心 眼病防治全国重点实验室 广东省眼科视觉科学重点实验室 广东省眼部疾病临床医学研究中心，广州 510060
- Keywords:
Glaucoma/therapy;
Complications;
Hyphema;
Intraocular pressure spike;
Minimally invasive glaucoma surgery;
Goniotomy
- From:
Chinese Journal of Experimental Ophthalmology
2024;42(10):881-886
- CountryChina
- Language:Chinese
-
Abstract:
Goniotomy (GT) is a safe and effective type of minimally invasive glaucoma surgery (MIGS) extensively utilized in China.It is particularly suited for treating primary open-angle glaucoma and advanced primary angle-closure glaucoma.Although GT is generally safe, hyphema and postoperative intraocular pressure (IOP) spikes remain common complications after GT.Currently, there is no standardized protocol for managing these issues, which can impact clinicians' assessment of surgical outcomes and potentially affect the prognosis.Therefore, it is crucial to establish comprehensive and detailed management protocols for perioperative hyphema and IOP spike following GT.This will guide clinical practitioners in managing complications appropriately and systematically, thereby promoting the further development and refinement of MIGS.To address these concerns, several domestic glaucoma treatment experts along with members of the Glaucoma Society of Ophthalmology, Guangdong Medical Association reviewed existing literature and held recommendation meetings to develop a guideline for managing perioperative hyphema and IOP spikes following GT.It includes defining perioperative hyphema in GT, discussing its high-risk factors and outcomes, exploring methods for prevention prior to surgery and techniques to reduce bleeding during the procedure, and managing postoperative hemorrhage.Additionally, it covers defining IOP spikes after GT, investigates their causes and contributing factors, and outlines management strategies and anticipated outcomes to provide a valuable resource for clinicians.
