Innovations in Glaucoma Surgeries
Several modalities may be used in the treatment of glaucoma - including medical, laser and surgical. Surgical treatment has so far been sub-conjunctival in nature and bleb-dependent, with inherent limitations despite being efficacious. This article focuses on the newer glaucoma procedures, viz-a-viz...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-10-01
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| Series: | Delhi Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/dljo.dljo_86_23 |
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| Summary: | Several modalities may be used in the treatment of glaucoma - including medical, laser and surgical. Surgical treatment has so far been sub-conjunctival in nature and bleb-dependent, with inherent limitations despite being efficacious. This article focuses on the newer glaucoma procedures, viz-a-viz microinvasive glaucoma surgeries (MIGS) that have recently been deployed with favourable results. MIGS works via various mechanisms, by-passing trabecular meshwork by implanting a stent or excising the trabecular tissue, enhancing aqueous outflow through Schlemm’s canal or, shunting the aqueous to the suprachoroidal space. As such it has become mostly ab-interno which has enhanced its safety profile making it suitable for use in mild-to-moderate glaucomas i.e. much earlier on in the disease spectrum. The majority of the ab-interno procedures and devices require a mastery of intra-operative gonioscopy. |
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| ISSN: | 0972-0200 2454-2784 |