摘要
近年来的临床研究和临床实践表明微创青光眼手术(MIGS)在治疗原发性闭角型青光眼(PACG)中具有较好的疗效和安全性,已在临床上得到广泛关注和应用。房角分离术(GSL)可通过分离粘连在房角上的虹膜组织而使关闭的房角结构重新开放,是MIGS治疗PACG的重要步骤。然而,目前我国GSL操作仍缺乏统一的规范,影响了治疗效果的有效评价,也增加了手术并发症的风险。制定详细、完整的GSL操作规范专家推荐意见对于提高手术成功率、改善患者的视觉质量和生活质量是非常必要的。本专家组就GSL的适应证、手术麻醉方式、手术部位、手术步骤、房角分离范围、联合术式、围手术期用药等问题进行讨论,基于国内外重要文献并结合临床实践以及相关领域的最新进展对GSL技术提出专家建议。
Minimally invasive glaucoma surgery(MIGS)has been successfully incorporated in clinical practice in recent years.Increasing evidence shows that it also plays an important role in the treatment of primary angle-closure glaucoma(PACG).Goniosynechialysis(GSL)is a key surgical procedure used by MIGS for PACG,which involves separating the peripheral anterior synechia and reopening the angle.However,there is still a lack of uniform standards for indications and surgical procedures.Therefore,it is necessary to formulate a detailed and complete expert consensus on surgical procedures to standardize the application of clinicians in the treatment.
作者
张秀兰
林凤彬
唐广贤
原慧萍
谢琳
卢岚
范肃洁
唐莉
聂昕
周民稳
Zhang Xiulan;Lin Fengbin;Tang Guangxian;Yuan Huiping;Xie Lin;Lu Lan;Fan Sujie;Tang Li;Nie Xin;Zhou Minwen(State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science,Guangdong Provincial Clinical Research Center for Ocular Diseases,Guangzhou 510060,China;Department of Ophthalmology,Shijiazhuang People's Hospital,Shijiazhuang 050000,China;Department of Ophthalmology,The 2nd Affiliated Hospital,Harbin Medical University,Harbin 150086,China;Department of Ophthalmology,The Third Affiliated Hospital of Chongqing Medical University,Chongqing 401120,China;Department of Ophthalmology,Fujian Medical University Union Hospital,Fuzhou 350001,China;Handan City Eye Hospital,Handan 056001,China;Department of Ophthalmology,West China Hospital of Sichuan University,Chengdu 610041,China;Department of Ophthalmology,People's Hospital of Chongqing,Chongqing 400014,China;Department of Ophthalmology,Shanghai General Hospital,Shanghai 200080,China)
出处
《中华实验眼科杂志》
CAS
CSCD
北大核心
2023年第9期843-845,共3页
Chinese Journal Of Experimental Ophthalmology
关键词
微创青光眼手术
原发性闭角型青光眼
房角分离术
专家意见
Minimally invasive glaucoma surgery
Primary angle-closure glaucoma
Goniosynechialysis
Expert recommendation
