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Is minimally invasive glaucoma surgery killing trabeculectomies?
Seng Chee Loon1, Bryan Chin Hou Ang2,3,4, Andrew White5,6,7
1Department of Ophthalmology, National University Hospital, Singapore.
Current Opinion in Ophthalmology
|January 8, 2025
Summary
Trabeculectomy remains the most common glaucoma surgery globally, but minimally invasive glaucoma surgery (MIGS) procedures are rapidly increasing. MIGS are increasingly used for mild to moderate glaucoma cases.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Trabeculectomy has been the gold standard glaucoma surgery for over 40 years.
- Minimally invasive glaucoma surgery (MIGS) represents a significant advancement in glaucoma treatment.
Purpose of the Study:
- To evaluate the current prevalence of trabeculectomy in the context of emerging MIGS.
- To determine if trabeculectomy remains the predominant glaucoma surgical procedure.
Main Methods:
- Review of current trends in glaucoma surgical procedures.
- Analysis of the impact of MIGS and glaucoma drainage devices on trabeculectomy rates.
Main Results:
- A notable shift towards MIGS for mild to moderate glaucoma cases.
- Glaucoma drainage devices are capturing a share of surgeries for severe glaucoma.
- Economic factors and implant availability influence trabeculectomy prevalence.
Conclusions:
- Trabeculectomy is still the most frequently performed glaucoma surgery worldwide.
- The adoption of MIGS procedures in glaucoma surgery is accelerating rapidly.
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