How to make an appropriate choice of glaucoma surgery

Reducing intraocular pressure is the only proven effective treatment of glaucoma.Drug therapy, laser and open surgery are the mainstay clinical tools to achieve this goal and surgical treatment has always been one of the most important method.In recent years, a variety of new methods of glaucoma surgeries were employed in clinical practice, which gave glaucoma surgeons more options.Minimally invasive glaucoma surgery (MIGS) is undoubtedly a topic of intense interest.In addition to new surgical procedures, many glaucoma treatment concepts have been updated.The role of lens extraction in the treatment of angle-closure glaucoma is another hot debate recently.For some classic glaucoma surgery, such as the well-known ciliary body destructive surgery used to treat for absolute glaucoma, has been found useful for early or mid-term glaucoma patients.It suggests that we need to reconsider these classic surgeries.Finally, Chinese ophthalmologists are facing special challenges of our own.Without the aid of mitomycin C (MMC), how to achieve good effects of filtering surgery is a conundrum for everyone.With the above-mentioned numerous questions, how to choose a reasonable glaucoma surgery method has become the concern of glaucoma specialists.This article will discuss the development of glaucoma surgery as well as special issues in glaucoma surgery in China, aiming to illustrate the above mentioned questions.