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Lots of new micro-invasive glaucoma surgeries (MIGS) are clinically available in recent two decades. The common characters of these surgeries are micro-invasive and non-filter bleb dependent. There are some problems during the promotion of the MIGS in China, like performing the MIGS with inappropriate indications. The MIGS procedures have more strict indications than traditional trabeculectomy and need more technical skills. To promote the popularization of MIGS and improve the clinical treatment of glaucoma, strictly following the indications and standardizing the surgical technique training are needed.近年来临床涌现出大量以微创、非滤过泡依赖性等为特点的新型抗青光眼手术，在引进和开展这些新型手术的过程中出现了盲目追求新技术和微创而忽视手术适应证的现象。本文在阐述新型微创抗青光眼手术具有更为严格手术适应证的基础上，强调临床严格把握手术适应证的必要性，指出应进一步加强培训工作并规范手术操作，才能发挥新型微创抗青光眼手术的作用，促进青光眼临床治疗水平提高。

The childhood glaucoma presents high blindness and requires high quality of surgical treatment, laying heavy burdens on patients' families and the society. So far, there is no widely accepted standard and consensus on the surgical treatment for childhood glaucoma. Angle surgery and trabeculotomy, especially microcatheter-assisted circumferential trabeculotomy, have a good therapeutic effect on childhood glaucoma. Established consensus and popularization of the new surgery can significantly improve the success rate of treatment for childhood glaucoma.儿童青光眼致盲率高，手术难度大，手术成功率低，对家庭和社会造成沉重负担。目前对于儿童抗青光眼手术方式的选择尚无统一的标准和共识。房角手术和小梁切开术，尤其微导管引导的全周小梁切开术，对儿童青光眼均具有良好的治疗效果。本文通过分析目前临床儿童抗青光眼手术存在的问题及其原因，强调统一儿童抗青光眼手术适应证和手术方式的必要性，提出应制定共识，推广普及新手术新技术，提高儿童青光眼的手术成功率。