小梁切除术在微创青光眼手术时代的作用。
The role of trabeculectomy in the era of minimally invasive glaucoma surgery.
机构信息
Department of Ophthalmology and Visual Sciences, University Hospitals, Cleveland Medical Center, Case Western Reserve University School of Medicine.
Case Western Reserve University School of Medicine.
出版信息
Curr Opin Ophthalmol. 2022 Mar 1;33(2):112-118. doi: 10.1097/ICU.0000000000000811.
PURPOSE OF REVIEW
This review discusses recent findings in surgical management of glaucoma, focusing on trabeculectomy and minimally invasive glaucoma surgery (MIGS). We discuss how the role these procedures play in conjunction with phacoemulsification.
RECENT FINDINGS
New findings of the Primary Trab Vs Tube study and findings regarding the Hydrus, Xen 45, Kahook dual blade, Ab-interno Canaloplasty and head-to-head MIGS studies are summarized.
SUMMARY
Patients with glaucoma greatly benefit from combining cataract surgery with a MIGS procedure that can be tailored to disease severity and medication use. Certain MIGS combined with phacoemulsification in severe and refractory glaucoma can potentially delay incisional glaucoma, although trabeculectomy- mitomycin C (MMC) still remains the best option in certain patient populations. We provide an update in the MIGS treatment paradigm based on newer, stronger evidence.
目的综述
本综述讨论了青光眼手术治疗的最新发现，重点关注小梁切除术和微创青光眼手术（MIGS）。我们讨论了这些手术与白内障超声乳化术联合应用的作用。
最近的发现
总结了原发性 TrabVsTube 研究的新发现以及 Hydrus、Xen45、Kahook 双刀片、Ab-interno 内切开术和 MIGS 对头对头研究的发现。
总结
青光眼患者通过将白内障手术与可根据疾病严重程度和药物使用情况定制的 MIGS 手术相结合，可从中大大获益。某些 MIGS 与严重和难治性青光眼的白内障超声乳化术联合应用，可能会延迟切口性青光眼，但在某些患者群体中，小梁切除术-丝裂霉素 C（MMC）仍然是最佳选择。我们根据更新、更强的证据提供了 MIGS 治疗范例的更新。
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