Clinical practice preferences for glaucoma surgery in Japan: a survey of Japan Glaucoma Society specialists.
Jpn J Ophthalmol
; 64(4): 385-391, 2020 Jul.
Article
em En
| MEDLINE
| ID: mdl-32474840
ABSTRACT
PURPOSE:
This study evaluated the surgical practice patterns of glaucoma management followed by glaucoma specialists in Japan.METHODS:
A survey was administered to 50 glaucoma specialists who were councilors in the Japan Glaucoma Society about surgical preferences and postoperative glaucoma care.RESULTS:
All 50 glaucoma specialists participated in the survey. Results show that, in 2019, compared to conventional trabeculotomy (4.6%), the frequency of minimally invasive glaucoma surgery (MIGS), combined with phacoemulsification, remarkably increased (79.0%) for non-operated eyes with mild open-angle glaucoma associated with cataract. Tube-shunt surgery was performed more often for open-angle glaucoma with previously twice failed trabeculectomy (65.8%) and neovascular glaucoma with previously once failed trabeculectomy (63.4%). In addition, during one year post-operatively, MIGS required less frequent follow-up visits compared to filtering surgery.CONCLUSION:
Although glaucoma specialists in the Japan Glaucoma Society usually prefer trabeculectomy, in the past decade they have selected tube-shunt surgery more often to treat refractory glaucoma. MIGS is increasing remarkably as the choice primary glaucoma surgery.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
/
Trabeculectomia
/
Glaucoma de Ângulo Aberto
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Facoemulsificação
/
Implantes para Drenagem de Glaucoma
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
Asia
Idioma:
En
Revista:
Jpn J Ophthalmol
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Japão