Mesh : Humans Minimally Invasive Surgical Procedures / methods Glaucoma / surgery Intraocular Pressure / physiology Trabeculectomy / methods Filtering Surgery / methods Glaucoma Drainage Implants

来  源:   DOI:10.1097/ICU.0000000000001077

Abstract:
OBJECTIVE: The advent of minimally invasive glaucoma surgery (MIGS) procedures has ushered in a new era of interventional glaucoma. MIGS has expanded the treatment options for surgeons necessitating a rethinking of the optimal management strategy for patients with glaucoma.
RESULTS: There are several new MIGS devices and procedures available to glaucoma surgeons. With several options available, patient selection is crucial to maximize the utility of MIGS in the context of traditional glaucoma surgery.
CONCLUSIONS: A management algorithm is presented based on our practice pattern to help guide decision-making for glaucoma surgeons. Although we encourage surgeons to continue to broaden their toolkit, we emphasize the continued importance of teaching the next-generation traditional glaucoma surgery in the MIGS era. Future prospective studies are warranted to elucidate the optimal treatment strategy for patients with glaucoma.
摘要:
目的:微创青光眼手术(MIGS)的出现开创了介入性青光眼的新时代。MIGS扩展了外科医生的治疗选择,需要重新考虑青光眼患者的最佳管理策略。
结果:青光眼外科医生可以使用几种新的MIGS设备和程序。有几个选项可用,患者选择对于在传统青光眼手术中最大限度地利用MIGS至关重要.
结论:根据我们的实践模式提出了一种管理算法,以帮助指导青光眼外科医生的决策。尽管我们鼓励外科医生继续扩大他们的工具包,我们强调在MIGS时代教授下一代传统青光眼手术的持续重要性.未来的前瞻性研究有必要阐明青光眼患者的最佳治疗策略。
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