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Minimally invasive glaucoma surgery in childhood glaucoma
Michelle S Go1, Sharon F Freedman2
1Department of Ophthalmology, University of North Carolina, Chapel Hill.
Current Opinion in Ophthalmology
|November 13, 2021
Summary
Minimally invasive glaucoma surgery (MIGS) shows promise for childhood glaucoma. Procedures like GATT and Trab360 appear safe and effective, though further research is needed for other MIGS devices.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Minimally invasive glaucoma surgery (MIGS) is established for adult glaucoma.
- Limited data exists on MIGS for childhood glaucoma.
Purpose of the Study:
- Review available data on MIGS in childhood glaucoma.
- Discuss the potential role of MIGS in managing pediatric glaucoma.
Main Methods:
- Literature review of MIGS procedures in pediatric glaucoma.
- Analysis of case series and reports on specific MIGS devices.
Main Results:
- Gonioscopy-assisted transluminal trabeculotomy (GATT) and Trab360 show promise.
- Kahook Dual Blade (KDB), Trabectome, and Xen gel stent have mixed or limited short-term results.
- Long-term data on Xen gel stent stability is unavailable.
Conclusions:
- GATT and Trab360 are potentially safe and effective for childhood glaucoma.
- Other MIGS devices show success in select cases with short follow-up.
- Further research is essential to validate MIGS efficacy and safety in pediatric glaucoma.
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