Effect of different glaucoma surgeries on postoperative refractive status
10.3980/j.issn.1672-5123.2026.3.09
- VernacularTitle:不同青光眼术式对术后屈光状态的影响
- Author:
Zixuan CHEN
1
;
Shan ZHONG
1
Author Information
1. Youjiang Medical University for Nationalities, Baise 533000, Guangxi Zhuang Autonomous Region, China
- Publication Type:Journal Article
- Keywords:
traditional glaucoma surgery;
minimally invasive glaucoma surgery;
combined cataract and glaucoma surgery;
refractive changes
- From:
International Eye Science
2026;26(3):417-423
- CountryChina
- Language:Chinese
-
Abstract:
Glaucoma, the leading cause of irreversible blindness worldwide, remains a central focus of ophthalmic research, particularly with regard to surgical management. Conventional procedures, such as trabeculectomy with mitomycin and glaucoma drainage device implantation, continue to be considered the gold standard because of their strong intraocular pressure lowering efficacy. However, these operations are associated with relatively high rates of postoperative complications, and perioperative fluctuations in intraocular parameters can introduce refractive prediction errors that ultimately compromise visual quality. In recent years, minimally invasive glaucoma surgery(MIGS)has gained increasing attention for its advantages in reducing complications, shortening operative time, minimizing incision size, and accelerating visual recovery, while better preserving postoperative refractive stability. This review systematically summarizes the differences in refractive outcomes between conventional surgery and MIGS, examines the underlying mechanisms, and discusses practical clinical strategies to manage refractive shifts. The aim is to provide a theoretical foundation for precise refractive management in glaucoma surgery, thereby enhancing patients' visual quality and overall quality of life.
