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  

Expert recommendations of phacoemulsification cataract extraction and intraocular lens implantation combined with goniosynechialysis and goniotomy for advanced PACG with cataract

作　　者：张秀兰[1] 宋云河 范肃洁[2] 唐莉[3] 卢岚[4] 谢琳 唐广贤 原慧萍[7] 周民稳[8] Zhang Xiulan;Song Yunhe;Fan Sujie;Tang Li;Lu Lan;Xie Lin;Tang Guangxian;Yuan Huiping;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;Handan City Eye Hospital,Handan 056001,China;Department of Ophthalmology,West China Hospital of Sichuan University,Chengdu 610041,China;Department of Ophthalmology,Fujian Medical University Union Hospital,Fuzhou 350001,China;Department of Ophthalmology,The Third Affiliated Hospital of Chongqing Medical University,Chongqing 401120,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,Shanghai General Hospital,Shanghai 200080,China)

机构地区：[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 [2]邯郸市眼科医院,邯郸056001 [3]四川大学华西医院眼科,成都610041 [4]福建医科大学附属协和医院眼科,福州350001 [5]重庆医科大学附属第三医院眼科,重庆401120 [6]石家庄第一眼科医院眼科,石家庄050000 [7]哈尔滨医科大学附属第二医院眼科,哈尔滨150086 [8]上海市第一人民医院眼科,上海200080

出　　处：《中华实验眼科杂志》2023年第2期97-100,共4页Chinese Journal Of Experimental Ophthalmology

摘　　要：合并白内障的中晚期原发性闭角型青光眼(PACG)在中国是发病率高、致残率高且严重影响患者生活质量的严重眼病,手术是其主要治疗方法。既往治疗合并白内障的中晚期PACG的手术方式是超声乳化白内障吸除人工晶状体植入术(PEI)联合小梁切除术,术后并发症较多。近年来PEI联合房角分离(GSL)及房角切开术(GT)治疗合并白内障的中晚期PACG被证实是安全和有效的,目前受到关注并且在我国已广泛开展,然而,PEI+GSL+GT手术治疗方案仍缺乏统一的规范。国内部分青光眼专家根据PEI+GSL+GT手术治疗合并白内障的中晚期PACG过程中存在的问题进行分析,制定详细、完整的手术操作规范,对手术适应证和禁忌证、麻醉方法、手术操作技术和围手术期用药方法提出推荐意见,使临床医生对该治疗方法的应用过程进行规范。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.

关 键 词：原发性闭角型青光眼 微创青光眼手术 超声乳化白内障吸除术 房角分离术 房角切开术 青光眼/手术疗法 推荐意见 

分 类 号：R779.6[医药卫生—眼科]