Advice and Recommendation
Expert recommendations of surgical technique for peripheral iridectomy with goniosynechialysis and goniotomy
Zhang Xiulan, Lin Fengbin, Fan Sujie, Tang Li, Tang Guangxian, Xie Lin, Lu Lan, Yuan Huiping, Nie Xin
Published 2023-02-10
Cite as Chin J Exp Ophthalmol, 2023, 41(2): 101-103. DOI: 10.3760/cma.j.cn115989-20221127-00552
Abstract
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.
Key words:
Primary angle-closure glaucoma; Minimally invasive glaucoma surgery; Surgical peripheral iridectomy; Goniosynechialysis; Goniotomy; Expert recoomendation
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
Lin Fengbin
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
Tang Guangxian
Department of Ophthalmology, Shijiazhuang People's Hospital, Shijiazhuang 050000, China
Xie Lin
Department of Ophthalmology, The Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China
Lu Lan
Department of Ophthalmology, Fujian Medical University Union Hospital, Fuzhou 350001, China
Yuan Huiping
Department of Ophthalmology, The 2nd Affiliated Hospital, Harbin Medical University, Harbin 150086, China
Nie Xin
Department of Ophthalmology, People's Hospital of Chongqing, Chongqing 400014, China
