临床实践中最小侵入性玻璃眼外科手术 (MIGS) 建议 开放角度玻璃眼和MIGS手术的指导方针:范围审查
Jose Galvez-Olortegui1,2,3,4, Carmen Burgueño-Montañes1,2, Isabel Silva-Ocas1,4
1Evidence Based Ophthalmology Unit (Oftalmoevidencia), Scientia Clinical and Epidemiological Research Institute, Trujillo, Perú.
European journal of ophthalmology
|August 23, 2024
概括
临床实践指南 (CPG) 对于开角玻璃眼不充分地解决了最小侵入性玻璃眼手术 (MIGS). 很少有CPG提供有关MIGS程序或设备的具体建议,这突出了基于证据的指导方面的差距.
科学领域:
- 眼科医生 眼科 眼科
- 玻璃眼的手术 玻璃眼的手术
- 临床实践指南 临床实践指南
背景情况:
- 最少侵入性玻璃眼外科手术 (MIGS) 为开角玻璃眼提供了一个不那么侵入性的手术选择.
- 临床实践指南 (CPG) 对于指导手术决策和患者护理至关重要.
研究的目的:
- 评估开放角度眼镜 CPG 和 MIGS 特定的 CPG 解决最小侵入性眼镜外科手术的程度.
- 在已建立的CPG中确定MIGS的当前建议和指导中的差距.
主要方法:
- 对过去8年内发表的临床实践指南 (CPG) 进行了范围审查.
- 进行了系统的文献搜索,以确定针对MIGS的相关CPG,数据提取侧重于建议.
主要成果:
- 确定了13个针对MIGS的CPG,但许多缺乏具体建议.
- 芬兰,瑞典,日本和西班牙的指导方针提供了有限的或没有具体的MIGS建议.
- 只有欧洲玻璃眼学会和NICE干预程序指南提供了一些设备或程序建议.
结论:
- 在当前的开放角眼的临床实践指南中,极少侵入性眼手术 (MIGS) 代表性不足.
- 需要更新的证据和明确的建议,关于MIGS程序和设备在眼CPGs.
相关概念视频
Open Angle Glaucoma: Treatment
413
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
413
Angle Closure Glaucoma: Treatment
454
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
454
Glaucoma: Overview
528
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
528


