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.
张秀兰,林凤彬,范肃洁,等. 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[J]. 中华实验眼科杂志,2023,41(02)：101-103.
DOI:10.3760/cma.j.cn115989-20221127-00552版权归中华医学会所有。
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