在 MIGS 背景下评估青光眼手术。
Evaluating glaucoma surgeries in the MIGS context.
机构信息
CShah Satnam Ji Speciality Hospitals, Sirsa, Haryana, India.
Glaucoma Services, Fortis Memorial Research Institute, Gurugram, Haryana, India.
出版信息
Rom J Ophthalmol. 2020 Apr-Jun;64(2):85-95.
Abstract
The challenges of glaucoma management are many: the disease is chronic, progressive, often asymptomatic, and very often, the quality of life and costs of treatment is unacceptable to the patient. This is true for both medical therapy and conventional glaucoma surgery. The choice of therapy, especially the transition from the former to the latter, is now being bridged by Minimally Invasive Glaucoma Surgeries (MIGS). Choosing from the several options now available in the surgical armamentarium requires a deeper understanding of the available modalities. This review aims to provide an overview of the decision-making process, keeping in mind age, type of glaucoma, life expectancy, socioeconomic status, patient expectations, and coexisting cataract.
摘要
青光眼管理面临诸多挑战
该病呈慢性、进展性，通常无症状，而且治疗的生活质量和费用往往让患者难以接受。这既适用于药物治疗，也适用于传统的青光眼手术。现在，微创青光眼手术 (MIGS) 正在弥合这一差距，使治疗选择，尤其是从前者向后者的转变成为可能。在手术工具包中可供选择的几种方法中进行选择，需要更深入地了解可用的方法。本文旨在概述决策过程，同时考虑到年龄、青光眼类型、预期寿命、社会经济状况、患者期望和并存白内障。
相似文献
1
Evaluating glaucoma surgeries in the MIGS context.在 MIGS 背景下评估青光眼手术。
Rom J Ophthalmol. 2020 Apr-Jun;64(2):85-95.
2
Minimally invasive, maximally impactful: minimally invasive glaucoma surgery and the changing glaucoma landscape.微创，大影响：微创青光眼手术与不断变化的青光眼领域。
Curr Opin Ophthalmol. 2024 Sep 1;35(5):409-414. doi: 10.1097/ICU.0000000000001077. Epub 2024 Jul 29.
3
Minimally Invasive Glaucoma Surgery: A Critical Appraisal of the Literature.微创青光眼手术：文献的批判性评估
Annu Rev Vis Sci. 2020 Sep 15;6:47-89. doi: 10.1146/annurev-vision-121219-081737.
4
Which Patients Would Most Likely to Benefit: MIGS or MEGS, Which One Is It?哪些患者最有可能受益：MIGS 还是 MEGS，哪一种？
Asia Pac J Ophthalmol (Phila). 2019 Nov-Dec;8(6):436-440. doi: 10.1097/APO.0000000000000260.
5
Minimally invasive glaucoma surgery: current implants and future innovations.微创青光眼手术：当前的植入物及未来创新
Can J Ophthalmol. 2014 Dec;49(6):528-33. doi: 10.1016/j.jcjo.2014.09.002.
6
Is there a change in the quality of life comparing the micro-invasive glaucoma surgery (MIGS) and the filtration technique trabeculectomy in glaucoma patients?对于青光眼患者，比较微创青光眼手术（MIGS）和小梁切除术这两种滤过技术，其生活质量是否存在差异？
Graefes Arch Clin Exp Ophthalmol. 2017 Feb;255(2):351-357. doi: 10.1007/s00417-016-3550-4. Epub 2016 Nov 15.
7
Surgical Innovations in Glaucoma: The Transition From Trabeculectomy to MIGS.青光眼的手术创新：从小梁切除术到微侵袭性青光眼手术的转变
Int Ophthalmol Clin. 2017 Fall;57(4):39-55. doi: 10.1097/IIO.0000000000000192.
8
[MINIMALLY INVASIVE GLAUCOMA SURGERIES].[微创青光眼手术]
Harefuah. 2019 Jan;158(1):60-64.
9
Success of combined cataract extraction plus excimer laser trabeculotomy exceeds that of combined ab interno trabeculectomy with the trabectome or cataract extraction alone.白内障超声乳化吸出联合准分子激光小梁切开术的成功率超过了内路小梁切开术联合 trabectome 或单纯白内障超声乳化吸出术。
Int Ophthalmol. 2020 Mar;40(3):529-537. doi: 10.1007/s10792-019-01191-9. Epub 2019 Nov 14.
10
The Role of Minimally Invasive Glaucoma Surgery Devices in the Management of Glaucoma.微创青光眼手术设备在青光眼治疗中的作用
Optom Vis Sci. 2018 Feb;95(2):155-162. doi: 10.1097/OPX.0000000000001173.
引用本文的文献
1
Current perspectives in tackling glaucoma blindness.应对青光眼致盲的当前观点。
Indian J Ophthalmol. 2025 Mar 1;73(Suppl 2):S189-S196. doi: 10.4103/IJO.IJO_3280_23. Epub 2025 Feb 21.
2
Outcomes of Trabeculectomy and Predictors of Success in Patients of African Ancestry With Primary Open Angle Glaucoma.非洲裔原发性开角型青光眼患者小梁切除术的结局及成功的预测因素
J Glaucoma. 2025 Feb 1;34(2):127-135. doi: 10.1097/IJG.0000000000002503. Epub 2024 Oct 2.
3
A Comprehensive Review of Recent Advances in Minimally Invasive Glaucoma Surgery: Current Trends and Future Directions.微创青光眼手术的最新进展综述：当前趋势与未来方向
Cureus. 2024 Jul 24;16(7):e65236. doi: 10.7759/cureus.65236. eCollection 2024 Jul.
4
The Evolution and Current Landscape of Minimally Invasive Glaucoma Surgeries: A Review.微创青光眼手术的发展历程与现状综述
Cureus. 2024 Jan 12;16(1):e52183. doi: 10.7759/cureus.52183. eCollection 2024 Jan.
5
Preventing Blindness with Early Cataract Surgery and Micro-Invasive Glaucoma Surgery in Patients Over 50: Guidance for Patients, Physicians and World Governments in Dealing with Glaucoma.50岁以上患者通过早期白内障手术和微创青光眼手术预防失明：患者、医生及世界各国政府应对青光眼的指南
Clin Ophthalmol. 2023 Oct 4;17:2929-2938. doi: 10.2147/OPTH.S422415. eCollection 2023.
6
Minimally Invasive Glaucoma Surgery: A Review of the Literature.微创青光眼手术：文献综述
Vision (Basel). 2023 Aug 21;7(3):54. doi: 10.3390/vision7030054.
7
Glaucoma: Novel antifibrotic therapeutics for the trabecular meshwork.青光眼：小梁网的新型抗纤维化治疗方法。
Eur J Pharmacol. 2023 Sep 5;954:175882. doi: 10.1016/j.ejphar.2023.175882. Epub 2023 Jun 28.
8
Excessive conjunctival and scleral retraction during trabeculectomy: an unusual intraoperative complication.在小梁切除术中出现过度的结膜和巩膜退缩：一种不常见的术中并发症。
Rom J Ophthalmol. 2023 Jan-Mar;67(1):92-96. doi: 10.22336/rjo.2023.17.
9
The PreserFlo MicroShunt in the Context of Minimally Invasive Glaucoma Surgery: A Narrative Review.《微创青光眼手术中 PreserFlo 微分流管的应用：叙事性综述》。
Int J Environ Res Public Health. 2023 Feb 7;20(4):2904. doi: 10.3390/ijerph20042904.
10
XEN Gel Stent Implantation in Eyes With Previous Glaucoma Filtering Surgeries: A Case Series.曾接受青光眼滤过手术的眼睛中XEN凝胶支架植入术：病例系列
Cureus. 2022 Dec 20;14(12):e32741. doi: 10.7759/cureus.32741. eCollection 2022 Dec.
本文引用的文献
1
Mitomycin C-augmented Phacotrabeculectomy Versus Phacoemulsification in Primary Angle-closure Glaucoma: A Randomized Controlled Study.丝裂霉素 C 增强的房角切开小梁切除术与超声乳化白内障吸除术治疗原发性闭角型青光眼的随机对照研究。
J Glaucoma. 2019 Oct;28(10):911-915. doi: 10.1097/IJG.0000000000001345.
2
Intraocular pressure reduction in a spectrum of angle closure disease following cataract extraction.白内障摘除术后一系列闭角型青光眼患者的眼压降低。
Indian J Ophthalmol. 2019 Sep;67(9):1433-1438. doi: 10.4103/ijo.IJO_1917_18.
3
Long-term outcome of low-cost glaucoma drainage device (Aurolab aqueous drainage implant) compared with Ahmed glaucoma valve.廉价青光眼引流装置（Aurolab 水引流植入物）与 Ahmed 青光眼阀的长期疗效比较。
Br J Ophthalmol. 2020 Apr;104(4):557-562. doi: 10.1136/bjophthalmol-2019-313942. Epub 2019 Jul 4.
4
Cauterized suture for complete tube occlusion of Ahmed glaucoma valve in hypotony maculopathy.用于低眼压性黄斑病变中Ahmed青光眼引流阀完全性导管阻塞的烧灼缝合术
Eur J Ophthalmol. 2020 Jan;30(1):221-223. doi: 10.1177/1120672119853750. Epub 2019 Jun 10.
5
Outcomes of Combined Ahmed Glaucoma Valve and Trabeculectomy Revision With Adjunctive Antimetabolite.联合 Ahmed 青光眼阀和小梁切除术翻修并附加抗代谢药物的结果。
J Glaucoma. 2019 May;28(5):404-410. doi: 10.1097/IJG.0000000000001135.
6
Phacotrabeculectomy using collagen matrix implant (Ologen ) versus mitomycin C: a prospective randomized controlled trial.经角膜缘巩膜切开术联合胶原基质植入物（Ologen）与丝裂霉素 C 的前瞻性随机对照研究。
Acta Ophthalmol. 2019 Sep;97(6):e817-e826. doi: 10.1111/aos.14102. Epub 2019 Mar 29.
7
Ab interno trabecular bypass surgery with iStent for open-angle glaucoma.用于开角型青光眼的iStent内小梁旁路手术
Cochrane Database Syst Rev. 2019 Mar 28;3(3):CD012743. doi: 10.1002/14651858.CD012743.pub2.
8
A Comparison of Deep Sclerectomy Trainer Versus Trainee Outcomes.深板层巩膜切除术训练器与受训者结果的比较。
J Glaucoma. 2019 May;28(5):427-432. doi: 10.1097/IJG.0000000000001195.
9
Anterior Chamber XEN Gel Stent Movements: The Impact on Corneal Endothelial Cell Density.前房 XEN 凝胶支架移动：对角膜内皮细胞密度的影响。
J Glaucoma. 2019 Jun;28(6):e93-e95. doi: 10.1097/IJG.0000000000001200.
10
Cost-effectiveness analysis of standalone trabecular micro-bypass stents in patients with mild-to-moderate open-angle glaucoma in Canada.加拿大轻度至中度开角型青光眼患者使用独立小梁微旁路支架的成本效益分析。
J Med Econ. 2019 Apr;22(4):390-401. doi: 10.1080/13696998.2019.1572013. Epub 2019 Feb 4.
Zotero 插件