Expert recommendations of surgical technique for peripheral iridectomy with goniosynechialysis and goniotomy
10.3760/cma.j.cn115989-20221127-00552
- VernacularTitle:周边虹膜切除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
;
Fengbin LIN
;
Sujie FAN
;
Li TANG
;
Guangxian TANG
;
Lin XIE
;
Lan LU
;
Huiping YUAN
;
Xin NIE
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 angle-closure glaucoma;
Minimally invasive glaucoma surgery;
Surgical peripheral iridectomy;
Goniosynechialysis;
Goniotomy;
Expert recoomendation
- From:
Chinese Journal of Experimental Ophthalmology
2023;41(2):101-103
- CountryChina
- Language:Chinese
-
Abstract:
Minimally invasive glaucoma surgery (MIGS) has been successfully incorporated in clinical practice in recent years.Increasing evidence shows that MIGS also plays an increasingly important role in the treatment of primary angle-closure glaucoma (PACG). Surgical peripheral iridectomy (SPI) plus goniosynechialysis (GSL) and goniotomy (GT), as a new procedure, has been proven to be safe and effective in the treatment of PACG with no or mild cataracts.However, there is still a lack of uniform standards for indications, surgical procedures, and perioperative medication.Therefore, it is necessary to formulate a detailed and complete expert recommendations on surgical procedures to standardize the application of combined SPI+ GSL+ GT in the treatment.Some experts in glaucoma treatment and management in China have discussed the current problems and developing trend in MIGS for PACG and put forward the expert recommendations of standard process, including indications, anaesthetic methods, surgical site, operating procedure and rational administration of drugs in perioperation, in order to standardize the medical process of clinicians using combined SPI+ GSL+ GT in PACG treatment and lay a foundation for better evaluation of the efficacy of MIGS.
