Clinical practice preferences for glaucoma surgery in Japan: a survey of Japan Glaucoma Society specialists.

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.

journal_name

Jpn J Ophthalmol

authors

Iwasaki K,Arimura S,Takamura Y,Inatani M

doi

10.1007/s10384-020-00749-w

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

385-391

issue

4

eissn

0021-5155

issn

1613-2246

pii

10.1007/s10384-020-00749-w

journal_volume

64

pub_type

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