An Update on Implants for Minimally Invasive Glaucoma Surgery (MIGS).
Ejaz Ansari1,2
1Maidstone & Tunbridge Wells NHS Trust, Maidstone, UK. e.ansari@nhs.net.
Ophthalmology and Therapy
|July 22, 2017
Summary
Minimally invasive glaucoma surgery (MIGS) offers a safer alternative to traditional trabeculectomy for lowering intraocular pressure (IOP). However, more long-term data is needed on MIGS implants, especially for standalone procedures.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Glaucoma Treatment
Background:
- Trabeculectomy is the standard glaucoma surgery for intraocular pressure (IOP) reduction but carries risks.
- Research is ongoing to develop safer and effective glaucoma surgical procedures.
- Minimally Invasive Glaucoma Surgery (MIGS) aims to improve safety while maintaining efficacy.
Purpose of the Study:
- To review available Minimally Invasive Glaucoma Surgery (MIGS) implants.
- To assess the current landscape of MIGS devices for ophthalmic surgeons.
Main Methods:
- Conducted a literature search on PubMed using relevant keywords.
- Focused on peer-reviewed articles concerning glaucoma surgical treatments.
- Included MIGS implants in the review.
Main Results:
- Identified a variety of MIGS implants available for ophthalmic surgeons.
- Noted a lack of long-term safety and efficacy data for MIGS procedures.
- Highlighted the absence of comparative data and data on standalone MIGS procedures.
- Observed that most MIGS implants are not yet FDA approved.
Conclusions:
- MIGS implants represent a developing area in glaucoma surgery with a focus on enhanced safety.
- Further research is required to establish long-term outcomes, comparative effectiveness, and suitability for standalone procedures.
- Ophthalmic surgeons have a growing but still limited range of FDA-unapproved MIGS implant options.
Related Concept Videos
01:27Open Angle Glaucoma: Treatment
1.0K
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
1.0K
01:28Angle Closure Glaucoma: Treatment
1.4K
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.4K
01:25Glaucoma: Overview
1.5K
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
1.5K