Orbach Adi, Lopez Gerardo, Berkowitz Eran, Tiosano Beatrice
Ophthalmology Department, Hillel Yaffe Medical Center.
Harefuah. 2019 Jan;158(1):60-64.
The goal of all glaucoma surgery is to lower eye pressure to prevent or reduce damage to the optic nerve. Standard glaucoma surgeries - trabeculectomy, ExPRESS shunts and external tube-shunts like the Ahmed and Baerveldt valves - are major surgeries. While they are very often effective at lowering eye pressure and preventing progression of glaucoma, they have a long list of potential complications. Minimal invasive glaucoma surgery (MIGS) is a group of operations that have been developed in recent years to reduce some of the complications of most standard glaucoma surgeries. MIGS procedures work by using microscopic-sized equipment and tiny incisions. The purpose of this study is to review the available MIGS currently in use, their benefits and limitations.
所有青光眼手术的目标都是降低眼压，以预防或减少对视神经的损害。标准的青光眼手术——小梁切除术、ExPRESS分流术以及诸如艾哈迈德（Ahmed）和贝尔费尔特（Baerveldt）瓣膜等外置引流管分流术——都是大手术。虽然它们在降低眼压和预防青光眼进展方面常常非常有效，但却有一长串潜在并发症。微创青光眼手术（MIGS）是近年来开发的一组手术，旨在减少大多数标准青光眼手术的一些并发症。MIGS手术通过使用微型设备和微小切口来起作用。本研究的目的是回顾目前正在使用的可用MIGS手术、它们的益处和局限性。
