Ophthalmology in China

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Glaucoma surgery: what we need to know now for the future?

 ZHANG Xiu-lan, LI Fei   

  1. Zhongshan Ophthalmic Center, State Key Laboratory of Ophthalmology, Sun Yat-sen University, Guangzhou 510060, China
  • Received:2017-10-29 Online:2018-01-25 Published:2018-01-26
  • Contact: ZHANG Xiu-lan, Email: xiulan_z@qq.com

Abstract:

 Glaucoma is currently the second leading reason for blindness in the world. In clinical practice, intraocular pressure (IOP) lowering is the only effective way proven to be effective in controlling disease progression. With development of modern cataract surgery and vitreoretinal surgery, surgical techniques of glaucoma have changed a lot. However, there are 2 major challenges. First, traditional filtering surgeries still need improvement in controlling post-surgical scarring and complications. Invention of micro-invasive glaucoma surgery (MIGS) resolved these problems to some extent. Second, for intractable cases, current surgical techniques cannot achieve satisfactory therapeutic effect for all cases. Therefore, there is still a long way for surgical techniques of glaucoma to go. We can expect that MIGS will become the mainstream and refractory glaucoma will be conquered in the future. (Ophthalmol CHN, 2018, 27: 1-3)

Key words: glaucoma/surgery, micro-invasive glaucoma surgery