周边虹膜切除联合房角分离及房角切开术适应证与禁忌证专家推荐意见(2025)  

Expert recommendation on indications and contraindications for peripheral iridectomy plus goniosynechialysis and goniotomy(2025)

作　　者：广东省医学会眼科学分会青光眼学组 张秀兰[2] 黄晶晶[3] 黄楚开[4] 赖铭莹[5] 徐桂花[6] 张洪洋 Glaucoma Society of Ophthalmology,Guangdong Medical Association;Zhang Xiulan(不详;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)

机构地区：[1]不详 [2]中山大学中山眼科中心,眼病防治全国重点实验室,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 [3]中山大学中山眼科中心,广州510060 [4]汕头大学·香港中文大学联合汕头国际眼科中心 [5]深圳市眼科医院 [6]惠州市中心人民医院 [7]南方医科大学南方医院

出　　处：《中华实验眼科杂志》2025年第2期101-104,共4页Chinese Journal Of Experimental Ophthalmology

摘　　要：近年来,微创青光眼手术(MIGS)在临床上得到广泛推广,其在治疗原发性闭角型青光眼(PACG)中的作用也逐渐凸显。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MIGS联合手术方式,已被证实在合并透明晶状体或无白内障手术指征的中晚期PACG的治疗中,具有良好的安全性和有效性。然而,临床医师在实践中对于该手术的适应证和禁忌证仍缺乏统一的规范。因此,广东省医学会眼科学分会青光眼学组专家针对此问题,就SPI+GSL+GT手术适应证及禁忌证提出推荐性意见,以规范临床医师在临床中的应用。Minimally invasive glaucoma surgery(MIGS)has been successfully incorporated in clinical practice in recent years.Increasing evidence shows that it 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 MIGS combination 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 and contraindications for the procedure.To address this issue,experts from Glaucoma Society of Ophthalmology,Guangdong Medical Association have developed a comprehensive expert recommendation on indications and contraindications for SPI+GSL+GT to standardize its application in clinical practice.

关 键 词：闭角型青光眼 微创手术 周边虹膜切除术 房角分离术 房角切开术 适应证 禁忌证 

分 类 号：R779.6[医药卫生—眼科]