Expert recommendations of phacoemulsification cataract extraction and intraocular lens implantation combined with goniosynechialysis and goniotomy for advanced PACG with cataract
10.3760/cma.j.cn115989-20221127-00550
- VernacularTitle:超声乳化白内障吸除人工晶状体植入联合房角分离及房角切开术操作规范专家推荐意见
- Author:
Xiulan ZHANG
1
;
Yunhe SONG
;
Sujie FAN
;
Li TANG
;
Lan LU
;
Lin XIE
;
Guangxian TANG
;
Huiping YUAN
;
Minwen ZHOU
Author Information
1. 中山大学中山眼科中心 眼科学国家重点实验室 广东省眼科视觉科学重点实验室 广东省眼部疾病临床研究中心，广州 510060
- Keywords:
Primary angel-closure glaucoma;
Minimally invasive glaucoma surgery;
Phacoemulsification;
Goniosynechialysis;
Goniotomy;
Glaucoma/surgery;
Expert recommenda
- From:
Chinese Journal of Experimental Ophthalmology
2023;41(2):97-100
- CountryChina
- Language:Chinese
-
Abstract:
With high incidence, high disability rate and serious impact on patients' quality of life, advanced primary angle-closure glaucoma (PACG) with cataract is a severe eye disease in China and its main treatment method is surgery.Phacoemulsification cataract extraction and intraocular lens implantation (PEI) combined with trabeculectomy has been used to treat advanced PACG with cataract, but there are many postoperative complications.Recently, combined PEI, goniosynechialysis (GSL) and goniotomy (GT) has been proven to be a safe and effective surgical treatment for advanced PACG with cataract.At present, the combined PEI+ GSL+ GT surgery has been widely applied, but there is still a lack of uniform standards for its clinical application.Therefore, it is necessary to formulate a detailed and complete recommendation of the surgical procedures for PEI+ GSL+ GT, to standardize its application in clinical practice.Based on the analysis of the existing problems, some glaucoma experts in China have formulated detailed and complete operation norms, as well as expert recommendations on surgical indications and contraindications, anesthetic methods, surgical techniques and perioperative medication to standardize the application process of PEI+ GSL+ GT in clinical practice.
