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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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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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Related Experiment Video

Updated: Jan 13, 2026

Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation
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[Modern devices for microinvasive glaucoma surgery].

Yu Yusef1, A A Antonov1, A S Makarova1

  • 1Krasnov Research Institute of Eye Diseases, Moscow, Russia.

Vestnik Oftalmologii
|October 29, 2025
PubMed
Summary
This summary is machine-generated.

Microinvasive glaucoma surgery (MIGS) offers a vital alternative for patients unresponsive to traditional treatments. Modern shunts in MIGS effectively stabilize intraocular pressure when other methods fail.

Keywords:
drainageglaucomaglaucoma surgeryintraocular pressuremicroinvasive glaucoma surgery

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Area of Science:

  • Ophthalmology
  • Surgical Innovation

Background:

  • Glaucoma management primarily relies on controlling intraocular pressure (IOP).
  • Traditional treatments include medication, laser, and surgery, but may be insufficient or unsafe for some patients.
  • Microinvasive glaucoma surgery (MIGS) has emerged as a significant advancement in IOP management over the last two decades.

Purpose of the Study:

  • To review current Russian and international microinvasive drainage devices used in glaucoma surgery.
  • To highlight the role of MIGS in managing glaucoma when conventional therapies are inadequate.

Main Methods:

  • Literature review focusing on microinvasive glaucoma surgery techniques.
  • Analysis of widely used microinvasive drainage devices in Russia and globally.

Main Results:

  • MIGS represents a new class of antihypertensive interventions.
  • Modern shunts are crucial components of MIGS procedures.
  • A significant number of glaucoma patients benefit from MIGS when other treatments are ineffective.

Conclusions:

  • Microinvasive glaucoma surgery is a critical option for stabilizing IOP in difficult glaucoma cases.
  • The development and use of microinvasive drainage devices are advancing glaucoma treatment.
  • MIGS provides a necessary alternative for patients with uncontrolled intraocular pressure.