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Recent Advancements in Glaucoma Surgery-A Review.
Bryan Chin Hou Ang1,2, Sheng Yang Lim1, Bjorn Kaijun Betzler3,4
1Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore 308433, Singapore.
Bioengineering (Basel, Switzerland)
|September 28, 2023
Summary
Recent surgical innovations enhance glaucoma treatment, improving safety and enabling earlier interventions. This review details advancements in trabeculectomy, glaucoma drainage devices (GDDs), and minimally invasive glaucoma surgery (MIGS).
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Glaucoma surgery is crucial for limiting optic nerve damage and vision loss.
- Recent decades have seen significant improvements in surgical safety and earlier interventions.
Purpose of the Study:
- To review the latest advancements in glaucoma surgical procedures.
- To summarize innovations in trabeculectomy, glaucoma drainage device (GDD) implantation, and minimally invasive glaucoma surgery (MIGS).
Main Methods:
- Comprehensive literature search of MEDLINE, EMBASE, and CENTRAL databases.
- Included recent studies (10 years for trabeculectomy/GDDs, 5 years for MIGS).
- Synthesized findings from 58 selected studies.
Main Results:
- Trabeculectomy advancements include new incisions, Tenon's layer management, and suturing techniques.
- GDD implantation innovations focus on surgical techniques, device modifications, complication management, and new devices.
- Minimally invasive glaucoma surgery (MIGS) has seen technique modifications and new device development.
Conclusions:
- Continuous innovation is enhancing glaucoma surgical safety and efficacy.
- These advancements support earlier and more frequent surgical intervention for glaucoma patients.
- The review highlights key developments across major glaucoma surgical modalities.
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