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Minimally Invasive Glaucoma Surgery (MIGS) recommendations in Clinical Practice Guidelines for open angle glaucoma
Jose Galvez-Olortegui1,2,3,4, Carmen Burgueño-Montañes1,2, Isabel Silva-Ocas1,4
1Evidence Based Ophthalmology Unit (Oftalmoevidencia), Scientia Clinical and Epidemiological Research Institute, Trujillo, Perú.
European Journal of Ophthalmology
|August 23, 2024
Summary
Clinical Practice Guidelines (CPG) for open angle glaucoma inadequately address Minimally Invasive Glaucoma Surgery (MIGS). Few CPG offer specific recommendations on MIGS procedures or devices, highlighting a gap in evidence-based guidance.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Clinical Practice Guidelines
Background:
- Minimally Invasive Glaucoma Surgery (MIGS) offers a less invasive surgical option for open angle glaucoma.
- Clinical Practice Guidelines (CPGs) are crucial for guiding surgical decisions and patient care.
Purpose of the Study:
- To evaluate the extent to which open angle glaucoma CPGs and MIGS-specific CPGs address Minimally Invasive Glaucoma Surgery.
- To identify current recommendations and gaps in guidance for MIGS within established CPGs.
Main Methods:
- A scoping review was performed on Clinical Practice Guidelines (CPGs) published within the last 8 years.
- Systematic literature searches were conducted to identify relevant CPGs addressing MIGS, with data extraction focused on recommendations.
Main Results:
- 13 CPGs addressing MIGS were identified, but many lacked specific recommendations.
- Guidelines from Finland, Sweden, Japan, and Spain provided limited or no specific MIGS recommendations.
- Only the European Glaucoma Society and NICE Interventional Procedures guidance offered some device or procedure recommendations.
Conclusions:
- Minimally Invasive Glaucoma Surgery (MIGS) is underrepresented in current open angle glaucoma Clinical Practice Guidelines.
- There is a need for updated evidence and explicit recommendations regarding MIGS procedures and devices in glaucoma CPGs.
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