新型微创抗青光眼手术推广过程中应严格掌握适应证

Strictly following the indications during the promotion of micro-invasive glaucoma surgeries

近年来临床涌现出大量以微创、非滤过泡依赖性等为特点的新型抗青光眼手术,在引进和开展这些新型手术的过程中出现了盲目追求新技术和微创而忽视手术适应证的现象。本文在阐述新型微创抗青光眼手术具有更为严格手术适应证的基础上,强调临床严格把握手术适应证的必要性,指出应进一步加强培训工作并规范手术操作,才能发挥新型微创抗青光眼手术的作用,促进青光眼临床治疗水平提高。(中华眼科杂志,2021,57:641-643)

Lots of new micro-invasive glaucoma surgeries(MIGS)are clinically available in recent two decades.The common characters of these surgeries are micro-invasive and non-filter bleb dependent.There are some problems during the promotion of the MIGS in China,like performing the MIGS with inappropriate indications.The MIGS procedures have more strict indications than traditional trabeculectomy and need more technical skills.To promote the popularization of MIGS and improve the clinical treatment of glaucoma,strictly following the indications and standardizing the surgical technique training are needed.(Chin J Ophthalmol,2021,57:641-643)