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  

Expert recommendations of surgical technique for peripheral iridectomy with goniosynechialysis and goniotomy

作　　者：张秀兰[1] 林凤彬 范肃洁[2] 唐莉[3] 唐广贤 谢琳 卢岚[6] 原慧萍[7] 聂昕 Zhang Xiulan;Lin Fengbin;Fan Sujie;Tang Li;Tang Guangxian;Xie Lin;Lu Lan;Yuan Huiping;Nie Xin(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,Shijiazhuang People's Hospital,Shijiazhuang 050000,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;Department of Ophthalmology,The 2nd Affiliated Hospital,Harbin Medical University,Harbin 150086,China;Department of Ophthalmology,People's Hospital of Chongqing,Chongqing 400014,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]石家庄第一眼科医院眼科,石家庄050000 [5]重庆医科大学附属第三医院眼科,重庆401120 [6]福建医科大学附属协和医院眼科,福州350001 [7]哈尔滨医科大学附属第二医院眼科,哈尔滨150086 [8]重庆市人民医院眼科,重庆400014

出　　处：《中华实验眼科杂志》2023年第2期101-103,共3页Chinese Journal Of Experimental Ophthalmology

摘　　要：微创青光眼手术(MIGS)近年来在临床上得到广泛开展,其在治疗原发性闭角型青光眼(PACG)中的作用也逐渐突显。周边虹膜切除(SPI)联合房角分离(GSL)及房角切开术(GT)作为新型的微创联合术式,目前被证实在治疗合并透明晶状体或没有白内障手术指征的中晚期PACG中是安全、有效的,目前在临床上已用于青光眼患者的治疗,但其手术操作及围手术期用药仍缺乏统一的规范,影响了治疗效果的正确评价。国内部分青光眼治疗专家针对目前SPI联合GSL及GT治疗PACG应用中存在的问题制定详细、完整的规范专家推荐意见,包括手术适应证、麻醉方法、手术部位、手术步骤、围手术期用药方法,以规范临床医生应用该技术治疗PACG的医疗过程,为更好地评价MIGS疗效奠定基础。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.

关 键 词：原发性闭角型青光眼 微创青光眼手术 周边虹膜切除术 房角分离术 房角切开术 推荐意见 

分 类 号：R779.6[医药卫生—眼科]