iStent® Trabecular Microbypass Stent: An Update

Due to the high rates of complications and failure experienced with current glaucoma procedures, there is a continuous search for a safer and more effective glaucoma surgery. A new class of procedures termed minimally invasive glaucoma surgeries (MIGS) aim to fill this void by offering an alternativ...

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Main Authors: Arthur Fernandes Resende, Neal Sanjay Patel, Michael Waisbourd, L. Jay Katz
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/2731856
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author Arthur Fernandes Resende
Neal Sanjay Patel
Michael Waisbourd
L. Jay Katz
author_facet Arthur Fernandes Resende
Neal Sanjay Patel
Michael Waisbourd
L. Jay Katz
author_sort Arthur Fernandes Resende
collection DOAJ
description Due to the high rates of complications and failure experienced with current glaucoma procedures, there is a continuous search for a safer and more effective glaucoma surgery. A new class of procedures termed minimally invasive glaucoma surgeries (MIGS) aim to fill this void by offering an alternative method of IOP reduction associated with markedly reduced complication rates and shorter recovery times. The iStent, a trabecular microbypass stent, is a MIGS device that has quickly gained popularity. The device allows aqueous humor to directly drain from the anterior chamber into Schlemm’s canal by bypassing an obstructed trabecular meshwork. This review examines publications about the iStent, focusing on the device’s efficacy, safety, and cost when a single iStent or multiple iStents are implanted in combination with cataract surgery or as a solo procedure. Current data suggest that the iStent is a safe and effective tool in the management of mild-to-moderate glaucoma, notable for its limited complications and absence of serious adverse events following implantation. As valuable experience is gained performing ab interno MIGS, increasing familiarity with angle anatomy and iStent placement, and as newer stent designs are developed, there is promise of continual improvement in the surgical management of glaucoma.
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spelling doaj-art-e0479e090d8743649a5c078b0b9c495c2025-02-03T05:57:39ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/27318562731856iStent® Trabecular Microbypass Stent: An UpdateArthur Fernandes Resende0Neal Sanjay Patel1Michael Waisbourd2L. Jay Katz3Glaucoma Research Center, Wills Eye Hospital, Philadelphia, PA 19107, USAGlaucoma Research Center, Wills Eye Hospital, Philadelphia, PA 19107, USAGlaucoma Research Center, Wills Eye Hospital, Philadelphia, PA 19107, USAGlaucoma Research Center, Wills Eye Hospital, Philadelphia, PA 19107, USADue to the high rates of complications and failure experienced with current glaucoma procedures, there is a continuous search for a safer and more effective glaucoma surgery. A new class of procedures termed minimally invasive glaucoma surgeries (MIGS) aim to fill this void by offering an alternative method of IOP reduction associated with markedly reduced complication rates and shorter recovery times. The iStent, a trabecular microbypass stent, is a MIGS device that has quickly gained popularity. The device allows aqueous humor to directly drain from the anterior chamber into Schlemm’s canal by bypassing an obstructed trabecular meshwork. This review examines publications about the iStent, focusing on the device’s efficacy, safety, and cost when a single iStent or multiple iStents are implanted in combination with cataract surgery or as a solo procedure. Current data suggest that the iStent is a safe and effective tool in the management of mild-to-moderate glaucoma, notable for its limited complications and absence of serious adverse events following implantation. As valuable experience is gained performing ab interno MIGS, increasing familiarity with angle anatomy and iStent placement, and as newer stent designs are developed, there is promise of continual improvement in the surgical management of glaucoma.http://dx.doi.org/10.1155/2016/2731856
spellingShingle Arthur Fernandes Resende
Neal Sanjay Patel
Michael Waisbourd
L. Jay Katz
iStent® Trabecular Microbypass Stent: An Update
Journal of Ophthalmology
title iStent® Trabecular Microbypass Stent: An Update
title_full iStent® Trabecular Microbypass Stent: An Update
title_fullStr iStent® Trabecular Microbypass Stent: An Update
title_full_unstemmed iStent® Trabecular Microbypass Stent: An Update
title_short iStent® Trabecular Microbypass Stent: An Update
title_sort istent r trabecular microbypass stent an update
url http://dx.doi.org/10.1155/2016/2731856
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