Role of minimally invasive glaucoma procedures increasing the outflow of aqueous humor through the conventional pathway in advanced treatment of glaucoma
The objective of glaucoma surgery is to prevent the progression of the disease. In practice, surgical treatment of glaucoma is typically undertaken when pharmacotherapy is ineffective, poorly tolerated, contraindicated, or improperly used by the patient. Minimally invasive glaucoma surgery (MIGS) re...
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Termedia Publishing House
2024-06-01
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| Series: | Klinika Oczna |
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| Online Access: | https://www.termedia.pl/Role-of-minimally-invasive-glaucoma-procedures-increasing-the-outflow-of-aqueous-humor-through-the-conventional-pathway-in-advanced-treatment-of-glaucoma,124,51957,1,1.html |
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| author | Łukasz Kempys Ewa Mrukwa-Kominek |
| author_facet | Łukasz Kempys Ewa Mrukwa-Kominek |
| author_sort | Łukasz Kempys |
| collection | DOAJ |
| description | The objective of glaucoma surgery is to prevent the progression of the disease. In practice, surgical treatment of glaucoma is typically undertaken when pharmacotherapy is ineffective, poorly tolerated, contraindicated, or improperly used by the patient. Minimally invasive glaucoma surgery (MIGS) represents one of the latest advancements in surgical approaches for managing glaucoma. MIGS is mainly used in the treatment of primary open-angle glaucoma and some types of secondary open-angle glaucoma, in particular pseudoexfoliation glaucoma. Minimally invasive glaucoma procedures to increase the outflow of aqueous humor via the conventional route, including ab interno goniotomy with the Kahook blade, iStent, Hydrus Microstent, Trabectome, excimer laser trabeculotomy, ab interno canaloplasty, and gonioscopy-assisted transluminal trabeculotomy are considered to be the safest. Another benefit of MIGS is the possibility to perform the surgical procedure concurrently with cataract phacoemulsification, while also preserving the bulbar conjunctiva, thereby enabling potential future procedures, if needed.
An analysis of the outcomes of studies on standalone MIGS procedures improving aqueous humor outflow via the conventional pathway, as well as combined procedures with cataract phacoemulsification, shows their high efficacy in lowering intraocular pressure and reducing the number of active substances used for treatment, which crucially contributes to the success of glaucoma therapy, preservation of functional visual acuity, and improvement in the quality of life for patients. The aim of this study was to review the literature on the topic of minimally invasive glaucoma procedures increasing the outflow of aqueous humor via the conventional pathway. |
| format | Article |
| id | doaj-art-2495c8db728648ba8a76a4dc84d2d7c3 |
| institution | Kabale University |
| issn | 0023-2157 2719-3209 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Klinika Oczna |
| spelling | doaj-art-2495c8db728648ba8a76a4dc84d2d7c32025-01-24T13:01:37ZengTermedia Publishing HouseKlinika Oczna0023-21572719-32092024-06-011262657010.5114/ko.2023.13345051957Role of minimally invasive glaucoma procedures increasing the outflow of aqueous humor through the conventional pathway in advanced treatment of glaucomaŁukasz KempysEwa Mrukwa-KominekThe objective of glaucoma surgery is to prevent the progression of the disease. In practice, surgical treatment of glaucoma is typically undertaken when pharmacotherapy is ineffective, poorly tolerated, contraindicated, or improperly used by the patient. Minimally invasive glaucoma surgery (MIGS) represents one of the latest advancements in surgical approaches for managing glaucoma. MIGS is mainly used in the treatment of primary open-angle glaucoma and some types of secondary open-angle glaucoma, in particular pseudoexfoliation glaucoma. Minimally invasive glaucoma procedures to increase the outflow of aqueous humor via the conventional route, including ab interno goniotomy with the Kahook blade, iStent, Hydrus Microstent, Trabectome, excimer laser trabeculotomy, ab interno canaloplasty, and gonioscopy-assisted transluminal trabeculotomy are considered to be the safest. Another benefit of MIGS is the possibility to perform the surgical procedure concurrently with cataract phacoemulsification, while also preserving the bulbar conjunctiva, thereby enabling potential future procedures, if needed. An analysis of the outcomes of studies on standalone MIGS procedures improving aqueous humor outflow via the conventional pathway, as well as combined procedures with cataract phacoemulsification, shows their high efficacy in lowering intraocular pressure and reducing the number of active substances used for treatment, which crucially contributes to the success of glaucoma therapy, preservation of functional visual acuity, and improvement in the quality of life for patients. The aim of this study was to review the literature on the topic of minimally invasive glaucoma procedures increasing the outflow of aqueous humor via the conventional pathway.https://www.termedia.pl/Role-of-minimally-invasive-glaucoma-procedures-increasing-the-outflow-of-aqueous-humor-through-the-conventional-pathway-in-advanced-treatment-of-glaucoma,124,51957,1,1.htmltrabectome hydrus microstent excimer laser trabeculotomy ab interno canaloplasty minimally invasive glaucoma surgery ab interno goniotomy with kahook dual blade. |
| spellingShingle | Łukasz Kempys Ewa Mrukwa-Kominek Role of minimally invasive glaucoma procedures increasing the outflow of aqueous humor through the conventional pathway in advanced treatment of glaucoma Klinika Oczna trabectome hydrus microstent excimer laser trabeculotomy ab interno canaloplasty minimally invasive glaucoma surgery ab interno goniotomy with kahook dual blade. |
| title | Role of minimally invasive glaucoma procedures increasing the outflow of aqueous humor through the conventional pathway in advanced treatment of glaucoma |
| title_full | Role of minimally invasive glaucoma procedures increasing the outflow of aqueous humor through the conventional pathway in advanced treatment of glaucoma |
| title_fullStr | Role of minimally invasive glaucoma procedures increasing the outflow of aqueous humor through the conventional pathway in advanced treatment of glaucoma |
| title_full_unstemmed | Role of minimally invasive glaucoma procedures increasing the outflow of aqueous humor through the conventional pathway in advanced treatment of glaucoma |
| title_short | Role of minimally invasive glaucoma procedures increasing the outflow of aqueous humor through the conventional pathway in advanced treatment of glaucoma |
| title_sort | role of minimally invasive glaucoma procedures increasing the outflow of aqueous humor through the conventional pathway in advanced treatment of glaucoma |
| topic | trabectome hydrus microstent excimer laser trabeculotomy ab interno canaloplasty minimally invasive glaucoma surgery ab interno goniotomy with kahook dual blade. |
| url | https://www.termedia.pl/Role-of-minimally-invasive-glaucoma-procedures-increasing-the-outflow-of-aqueous-humor-through-the-conventional-pathway-in-advanced-treatment-of-glaucoma,124,51957,1,1.html |
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