房角镜下房角分离术治疗PACG操作规范专家推荐意见  

Expert consensus recommendations of surgical technique for goniosynechialysis

作　　者：张秀兰[1] 林凤彬 唐广贤 原慧萍[3] 谢琳 卢岚[5] 范肃洁[6] 唐莉[7] 聂昕 周民稳[9] 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)

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]石家庄第一眼科医院眼科,石家庄050000 [3]哈尔滨医科大学附属第二医院眼科,哈尔滨150086 [4]重庆医科大学附属第三医院眼科,重庆401120 [5]福建医科大学附属协和医院眼科,福州350001 [6]邯郸市眼科医院,邯郸056001 [7]四川大学华西医院眼科,成都610041 [8]重庆市人民医院眼科,重庆400014 [9]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9期843-845,共3页Chinese Journal Of Experimental Ophthalmology

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.

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 

分 类 号：R779.6[医药卫生—眼科]