Advice and Recommendation
Expert recommendations of phacoemulsification cataract extraction and intraocular lens implantation combined with goniosynechialysis and goniotomy for advanced PACG with cataract
Zhang Xiulan, Song Yunhe, Fan Sujie, Tang Li, Lu Lan, Xie Lin, Tang Guangxian, Yuan Huiping, Zhou Minwen
Published 2023-02-10
Cite as Chin J Exp Ophthalmol, 2023, 41(2): 97-100. DOI: 10.3760/cma.j.cn115989-20221127-00550
Abstract
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.
Key words:
Primary angel-closure glaucoma; Minimally invasive glaucoma surgery; Phacoemulsification; Goniosynechialysis; Goniotomy; Glaucoma/surgery; Expert recommendation
Contributor Information
Zhang Xiulan
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
Song Yunhe
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
Fan Sujie
Handan City Eye Hospital, Handan 056001, China
Tang Li
Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu 610041, China
Lu Lan
Department of Ophthalmology, Fujian Medical University Union Hospital, Fuzhou 350001, China
Xie Lin
Department of Ophthalmology, The Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China
Tang Guangxian
Department of Ophthalmology, Shijiazhuang People's Hospital, Shijiazhuang 050000, China
Yuan Huiping
Department of Ophthalmology, The 2nd Affiliated Hospital, Harbin Medical University, Harbin 150086, China
Zhou Minwen
Department of Ophthalmology, Shanghai General Hospital, Shanghai 200080, China
