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- Title
Clinical practice preferences for glaucoma surgery in Japan: a survey of Japan Glaucoma Society specialists.
- Authors
Iwasaki, Kentaro; Arimura, Shogo; Takamura, Yoshihiro; Inatani, Masaru
- 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.
- Subjects
JAPAN; PHACOEMULSIFICATION; GLAUCOMA surgery; MINIMALLY invasive procedures; GLAUCOMA; OPEN-angle glaucoma; FILTERING surgery; POSTOPERATIVE care
- Publication
Japanese Journal of Ophthalmology, 2020, Vol 64, Issue 4, p385
- ISSN
0021-5155
- Publication type
Article
- DOI
10.1007/s10384-020-00749-w