Cataract surgery combined with glaucoma surgery.

IF 3 2区 医学 Q1 OPHTHALMOLOGY Current Opinion in Ophthalmology Pub Date : 2024-11-08 DOI:10.1097/ICU.0000000000001105
Julien Torbey, Kaweh Mansouri
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Abstract

Purpose of review: This review evaluates the surgical management of glaucoma in patients undergoing cataract surgery. Combining both procedures present challenges in balancing intraocular pressure (IOP) control, minimizing postoperative complications, and achieving optimal refractive outcomes.

Recent findings: Recent studies highlight the effectiveness of combined glaucoma and cataract surgeries, with traditional filtering surgeries and MIGS showing significant IOP reduction. The abundance of long-term studies shows that MIGS can offer an effective and safer alternative when carefully tailored to meet the specific needs of each patient.

Summary: Combining glaucoma and cataract surgery is a promising approach for patients with coexisting conditions. While traditional surgeries offer robust IOP reduction, MIGS procedures offer better safety profiles with fewer complications and more predictable refractive results. Surgeons must carefully consider the timing and choice of procedures, with further research required to develop standardized treatment algorithms.

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白内障手术联合青光眼手术。
综述目的:本综述评估了白内障手术患者青光眼的手术治疗。结合两种手术在平衡眼压(IOP)控制、减少术后并发症以及实现最佳屈光效果方面都存在挑战:最新研究结果:最近的研究强调了青光眼和白内障联合手术的有效性,传统的滤过手术和 MIGS 都能显著降低眼压。大量的长期研究表明,MIGS 可以提供一种有效且更安全的替代方法,只要精心定制以满足每位患者的特殊需求。摘要:对于同时患有青光眼和白内障的患者来说,联合青光眼和白内障手术是一种很有前景的方法。虽然传统手术能有效降低眼压,但 MIGS 手术的安全性更高,并发症更少,屈光效果更可预测。外科医生必须慎重考虑手术时机和手术方式的选择,并进一步研究制定标准化的治疗算法。
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来源期刊
CiteScore
6.80
自引率
5.40%
发文量
120
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Ophthalmology is an indispensable resource featuring key up-to-date and important advances in the field from around the world. With renowned guest editors for each section, every bimonthly issue of Current Opinion in Ophthalmology delivers a fresh insight into topics such as glaucoma, refractive surgery and corneal and external disorders. With ten sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, clinicians and other healthcare professionals alike.
期刊最新文献
The effect of cataract surgery on lowering intraocular pressure. Artificial intelligence in ophthalmology. A comprehensive update on over the counter artificial tears. Challenges and outcomes of cataract surgery after vitrectomy. Cataract surgery combined with glaucoma surgery.
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