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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...
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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.
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Angle Closure Glaucoma: Treatment01:28

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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...
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This study introduces a novel surgery simulator for Minimally Invasive Glaucoma Surgery (MIGS) to train ophthalmologists and develop new surgical tools. The simulator accurately models intraocular pressure (IOP) changes during MIGS procedures.

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Area of Science:

  • Ophthalmology
  • Medical Simulation
  • Biomedical Engineering

Background:

  • Glaucoma is a leading cause of vision loss, characterized by optic nerve damage.
  • Effective treatment for glaucoma involves reducing intraocular pressure (IOP).
  • Minimally Invasive Glaucoma Surgery (MIGS) offers a less invasive approach to IOP reduction.

Purpose of the Study:

  • To develop and validate a novel surgery simulator for Minimally Invasive Glaucoma Surgery (MIGS).
  • To provide a training platform for ophthalmologists performing MIGS procedures.
  • To facilitate the evaluation and development of new MIGS instruments and robotic systems.

Main Methods:

  • Designed and manufactured a prototype simulator featuring an anterior eye model with a Schlemm's canal (SC) analog and trabecular meshwork (TM) analog.
  • Integrated a fluidic circulatory system with a pressure sensor to monitor IOP.
  • Simulated a MIGS procedure involving TM cleavage and measured IOP changes.

Main Results:

  • The simulator successfully modeled IOP reduction after TM cleavage.
  • Experimental results demonstrated the simulator's ability to reflect IOP changes.
  • The prototype's performance aligned with defined target requirements.

Conclusions:

  • The developed MIGS simulator is a viable tool for surgical training and procedural practice.
  • The simulator can be utilized for evaluating new MIGS instruments and ophthalmic surgery robots.
  • This technology holds promise for advancing glaucoma treatment and surgical innovation.