Bloom Philip, Au Leon
Western Eye Hospital, London, UK.
Manchester Royal Eye Hospital, Manchester Academic Health Science Centre Oxford road, Manchester, UK.
Ophthalmol Ther. 2018 Dec;7(2):203-210. doi: 10.1007/s40123-018-0135-9. Epub 2018 Jun 22.
Surgical treatment for glaucoma has undergone a dramatic change over the last decade. Trabeculectomy has been the main surgical procedure worldwide for almost 50 years. However, there is a growth in development of new novel devices and surgical techniques designed to lower intraocular pressure in a less invasive fashion. The term minimally invasive glaucoma surgery (MIGS) has been coined and is the subject of investment, debate and, increasingly, research. The position of MIGS in the glaucoma treatment paradigm is yet to be clearly defined and its ability to replace conventional filtration surgery remains debatable. In this paper two glaucoma specialists were invited to debate the motion that "MIGS is a poor substitute for trabeculectomy".
在过去十年中，青光眼的外科治疗发生了巨大变化。小梁切除术在全球范围内作为主要外科手术已近50年。然而，旨在以微创方式降低眼压的新型设备和手术技术不断涌现。“微创青光眼手术（MIGS）”这一术语应运而生，成为投资、争论以及越来越多研究的主题。MIGS在青光眼治疗模式中的地位尚未明确界定，其能否替代传统滤过手术仍存在争议。本文邀请了两位青光眼专家就“MIGS是小梁切除术的劣质替代方案”这一观点展开辩论。
