Safety and Efficacy of Microinvasive Glaucoma Surgery

Journal of Ophthalmology
David Z Chen, Chelvin C A Sng

Abstract

Microinvasive glaucoma surgery (MIGS) is emerging as a new therapeutic option for glaucoma patients who wish to reduce their medication burden and avoid the postoperative complications of conventional glaucoma filtration surgery. These devices differ in terms of their efficacy and safety profile. Schlemm's canal devices have the most favorable safety profile at the compromise of modest efficacy, while subconjunctival and suprachoroidal devices are potentially more effective at lowering the intraocular pressure at the expense of a higher rate of complications. This review consolidates the latest evidence on the efficacy and safety of the MIGS devices in clinical use and provides an overview on upcoming devices which would likely also become viable treatment options in the near future. These clinical data would assist a glaucoma surgeon in selecting the most appropriate MIGS device for each patient based on the glaucoma severity and patient expectations.

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Citations

Sep 27, 2018·The British Journal of Ophthalmology·Chelvin C A Sng, Keith Barton
Sep 12, 2020·European Journal of Ophthalmology·Randolf Alexander WidderGernot Franz Roessler
May 6, 2020·Journal of Glaucoma·Inês LealJohn M Sparrow
Dec 3, 2020·Investigative Ophthalmology & Visual Science·Pawan Kumar SinghAshok Kumar
Jun 6, 2018·International Ophthalmology Clinics·Jeanie D Ling, Nicholas P Bell
Nov 6, 2020·Clinical Ophthalmology·David A AmmarMalik Y Kahook
Sep 16, 2020·Ophthalmology. Glaucoma·Shaza N Al-HolouVikas Gulati
Jul 13, 2021·Acta Ophthalmologica·John Tsia-Chuen KanBryan Chin Hou Ang

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Methods Mentioned

BETA
lavage
dissection

Software Mentioned

HYDRUS
iStent

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