Complications After Incisional/Excisional Minimally Invasive Glaucoma Surgery-An Update and Literature Review.

IF 1.9 4区医学 Q2 OPHTHALMOLOGY Seminars in Ophthalmology Pub Date : 2025-01-20 DOI:10.1080/08820538.2025.2450687

Aparna Rao, Manikanta Damagantla, Rashmi Krishnamurthy, Sirisha Senthil

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Abstract

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.

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切口/切除微创青光眼手术后的并发症——最新进展及文献综述。

目的：全面探讨无支架微创青光眼手术（MIGS）术后各种并发症。方法：回顾2014-2024年间报道的无支架MIGS手术的并发症，包括经腔内镜检辅助的小梁切开术（GATT）、弯针性骨切除术（BANG）、kahook -双刀性骨切开术和微切口小梁切除术（MIT）。结果：除了前体积血、周围前粘连和眼压峰值外，其他威胁视力的并发症，如睫状体透析、Descemet脱离、角膜水肿、虹膜破裂、玻璃体丢失或玻璃体出血，也可能在任何切口或切除的MIGS手术中或术后发生。结论：尽管MIGS手术是微创手术，但仍应注意所有可能的并发症。在手术的不同阶段应注意避免这些并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Ophthalmology OPHTHALMOLOGY-

CiteScore

3.20

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Seminars in Ophthalmology offers current, clinically oriented reviews on the diagnosis and treatment of ophthalmic disorders. Each issue focuses on a single topic, with a primary emphasis on appropriate surgical techniques.