[Modern methods of minimally invasive glaucoma surgery]

Area of Science:

• Ophthalmology
• Surgical Innovation
• Glaucoma Management

Background:

• Glaucoma surgery evolved from early iridectomy to microscopic, pathogenetically oriented interventions.
• Trabeculectomy was the gold standard but associated with complications, leading to non-penetrating surgeries like deep sclerectomy and viscocanalostomy.
• Non-penetrating surgeries, while safe, lack long-lasting hypotensive effects and limit future interventions.

Purpose of the Study:

• To review recent data on minimally invasive glaucoma surgery (MIGS) techniques.
• To analyze the effectiveness of current and investigational MIGS procedures.
• To present conclusions on the global status of MIGS.

Main Methods:

• Literature review of recent data on MIGS.
• Analysis of effectiveness reports for various MIGS techniques.
• Synthesis of information on current and emerging surgical options.

Main Results:

• Minimally invasive glaucoma surgery (MIGS) emerged due to limitations of traditional surgeries.
• MIGS requires an ab interno approach through a corneal incision.
• Advancements in surgical tools and techniques are expanding glaucoma treatment options.

Conclusions:

• MIGS represents a new era in glaucoma surgery, driven by technical progress and the need for safer, more effective interventions.
• The field is rapidly evolving, with ongoing research into new techniques and improved patient outcomes.
• MIGS offers a promising future for glaucoma management, enhancing treatment standards worldwide.