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Which Patients Would Most Likely to Benefit: MIGS or MEGS, Which One Is It?
- Source :
- Asia-Pacific Journal of Ophthalmology (Philadelphia, Pa.)
- Publication Year :
- 2019
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2019.
-
Abstract
- The availability of ab interno minimally invasive glaucoma surgery (MIGS) has promoted an international interest in this procedure. Our purpose is to define the role of MIGS in the constant evolving glaucoma treatment algorithm. Current MIGS approaches to lowering intraocular pressure (IOP) include increasing trabecular outflow (iStent trabecular microbypass stent, iStent inject, Hydrus Microstent, Kahook Dual Blade goniotomy, Trabectome ab interno trabeculectomy, Excimer laser trabeculotomy, and goniotomy-assisted transluminal trabeculotomy), increasing uveoscleral outflow with suprachoroidal shunts (Cypass microstent), and developing subconjunctival filtration (XEN gel stent and InnFocus microshunt). The efficacy of each depends on the achievement of desired target IOP reduction in a specific patient. The determination of whether a procedure is either a MIGS or minimally effective glaucoma surgery (MEGS) procedure is based on their efficacy and complications. Aqueous humor angiography suggests that success of trabecular bypass MIGS may not be patient-dependent only, but it may be affected by the location and flow of aqueous through collector channels. The future use of aqueous angiography may permit customized treatment of trabecular meshwork dependent MIGS procedures.
- Subjects :
- medicine.medical_specialty
Intraocular pressure
genetic structures
Minimally invasive glaucoma surgery
medicine.medical_treatment
Glaucoma
Trabeculectomy
Aqueous Humor
03 medical and health sciences
0302 clinical medicine
stomatognathic system
Trabecular Meshwork
Ophthalmology
medicine
Glaucoma surgery
Humans
Minimally Invasive Surgical Procedures
Trabectome
Glaucoma Drainage Implants
Intraocular Pressure
novel glaucoma procedures
business.industry
MIGS
General Medicine
medicine.disease
Trabeculotomy
eye diseases
ab interno glaucoma surgery
stomatognathic diseases
medicine.anatomical_structure
minimally invasive glaucoma surgery
030221 ophthalmology & optometry
Ocular Hypertension
sense organs
Trabecular meshwork
business
030217 neurology & neurosurgery
Perspectives
Subjects
Details
- ISSN :
- 21620989
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Asia-Pacific Journal of Ophthalmology
- Accession number :
- edsair.doi.dedup.....1787bd90784a157dcfa920f5702352ec