Goniotomy and phacogoniotomy in glaucoma surgery

IF 7 3区医学 Q1 OPHTHALMOLOGY

Asia-Pacific Journal of Ophthalmology Pub Date : 2026-03-01 Epub Date: 2026-03-03 DOI:10.1016/j.apjo.2026.100296

Bin Xie , Zefeng Yang , Zhixuan Wang , Zige Fang , Yunhe Song , Fengbin Lin , Guihua Xu , Fengqi Zhou , Joseph Anthony Tumbocon , Ying Han , Clement C. Tham , Tin Aung , Tanuj Dada , Robert N. Weinreb , Fei Li , Xiulan Zhang

{"title":"Goniotomy and phacogoniotomy in glaucoma surgery","authors":"Bin Xie , Zefeng Yang , Zhixuan Wang , Zige Fang , Yunhe Song , Fengbin Lin , Guihua Xu , Fengqi Zhou , Joseph Anthony Tumbocon , Ying Han , Clement C. Tham , Tin Aung , Tanuj Dada , Robert N. Weinreb , Fei Li , Xiulan Zhang","doi":"10.1016/j.apjo.2026.100296","DOIUrl":null,"url":null,"abstract":"<div><div>Goniotomy (GT) or ab interno trabeculotomy facilitates aqueous humor drainage thereby resulting intraocular pressure (IOP) reduction by incising the trabecular meshwork and the inner wall of Schlemm’s canal. It can be performed alone or combined with cataract surgery, a procedure known as phacogoniotomy. As these procedures can be performed with non-device built instruments compared to other minimally invasive glaucoma surgery (MIGS) devices or procedures, they are increasingly adopted in low- and middle-income countries (LMICs) and primary-level hospitals. To summarize the clinical use and future directions of GT and phacogoniotomy, we conducted a comprehensive literature review by searching PubMed. The available evidence suggests that GT and phacogoniotomy are effective and safe procedures, providing a widely adopted surgical option applicable to glaucoma patients of all ages.</div></div>","PeriodicalId":8594,"journal":{"name":"Asia-Pacific Journal of Ophthalmology","volume":"15 2","pages":"Article 100296"},"PeriodicalIF":7.0000,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asia-Pacific Journal of Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2162098926000228","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/3/3 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Goniotomy (GT) or ab interno trabeculotomy facilitates aqueous humor drainage thereby resulting intraocular pressure (IOP) reduction by incising the trabecular meshwork and the inner wall of Schlemm’s canal. It can be performed alone or combined with cataract surgery, a procedure known as phacogoniotomy. As these procedures can be performed with non-device built instruments compared to other minimally invasive glaucoma surgery (MIGS) devices or procedures, they are increasingly adopted in low- and middle-income countries (LMICs) and primary-level hospitals. To summarize the clinical use and future directions of GT and phacogoniotomy, we conducted a comprehensive literature review by searching PubMed. The available evidence suggests that GT and phacogoniotomy are effective and safe procedures, providing a widely adopted surgical option applicable to glaucoma patients of all ages.

查看原文本刊更多论文

青光眼手术中的角膜切开术和虹膜切开术。

Goniotomy （GT）或ab间小梁切开术通过切开小梁网和Schlemm管内壁，促进房水引流，从而降低眼压（IOP）。它可以单独进行，也可以与白内障手术（一种被称为晶状体切开术的手术）联合进行。与其他微创青光眼手术（MIGS）设备或程序相比，这些手术可以使用非装置内置仪器进行，因此越来越多地在低收入和中等收入国家（LMICs）和基层医院采用。为了总结GT和咽部切开术的临床应用和未来发展方向，我们通过检索PubMed进行了全面的文献综述。现有证据表明，GT和虹膜切开术是有效和安全的手术方法，为所有年龄的青光眼患者提供了广泛采用的手术选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Asia-Pacific Journal of Ophthalmology OPHTHALMOLOGY-

CiteScore

8.10

自引率

18.20%

发文量

197

审稿时长

6 weeks

期刊介绍： The Asia-Pacific Journal of Ophthalmology, a bimonthly, peer-reviewed online scientific publication, is an official publication of the Asia-Pacific Academy of Ophthalmology (APAO), a supranational organization which is committed to research, training, learning, publication and knowledge and skill transfers in ophthalmology and visual sciences. The Asia-Pacific Journal of Ophthalmology welcomes review articles on currently hot topics, original, previously unpublished manuscripts describing clinical investigations, clinical observations and clinically relevant laboratory investigations, as well as .perspectives containing personal viewpoints on topics with broad interests. Editorials are published by invitation only. Case reports are generally not considered. The Asia-Pacific Journal of Ophthalmology covers 16 subspecialties and is freely circulated among individual members of the APAO’s member societies, which amounts to a potential readership of over 50,000.