切开/切除性微创青光眼手术后的并发症——最新进展与文献综述
Complications After Incisional/Excisional Minimally Invasive Glaucoma Surgery-An Update and Literature Review.
作者信息
Rao Aparna, Damagantla Manikanta, Krishnamurthy Rashmi, Senthil Sirisha
机构信息
Glaucoma Service, LV Prasad Eye Institute, Hyderabad, India.
出版信息
Semin Ophthalmol. 2025 Jul;40(5):382-388. doi: 10.1080/08820538.2025.2450687. Epub 2025 Jan 20.
PURPOSE
To discuss comprehensively the varied complications after stent-less incisional or excisional minimally invasive glaucoma surgery (MIGS).
METHOD
A review of reported complications after stent-less MIGS procedures including gonioscopy-assisted transluminal trabeculotomy (GATT), bent needle goniectomy (BANG), Kahook-dual blade goniotomy, and microincisional trabeculectomy (MIT) published between 2014-2024, were analyzed and summarized.
RESULTS
Apart from hyphema, peripheral anterior synechiae, and intraocular pressure spikes, other vision-threatening complications like cyclodialysis, Descemet's detachment, corneal edema, iridodilalysis, vitreous loss or vitreous hemorrhage can also occur intra- or postoperatively after any incisional or excisional MIGS procedures.
CONCLUSION
All possible complications are to be kept in mind during MIGS despite the procedures being minimally invasive. Adequate care should be taken during different stages of the surgery to avoid these complications.
目的
全面探讨无支架切开或切除性微创青光眼手术（MIGS）后的各种并发症。
方法
回顾2014年至2024年间发表的关于无支架MIGS手术（包括前房角镜辅助小梁切开术（GATT）、弯针前房角切开术（BANG）、卡胡克双刃前房角切开术和微切口小梁切除术（MIT））后报道的并发症，并进行分析和总结。
结果
除了前房积血、周边前粘连和眼压峰值外，在任何切开或切除性MIGS手术后的术中或术后，还可能发生其他威胁视力的并发症，如睫状体脱离、Descemet膜脱离、角膜水肿、虹膜根部断离、玻璃体丢失或玻璃体出血。
结论
尽管MIGS手术是微创手术，但在手术过程中仍应牢记所有可能的并发症。在手术的不同阶段应采取充分的护理措施以避免这些并发症。
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