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minimally invasive glaucoma surgery

Currently, all therapy for glaucoma is directed at lowering eye pressure, but the fundamental problem in glaucoma is the degeneration of the optic nerve fibers necessary for vision. Because minimally invasive glaucoma procedures are microscopic and use smaller incisions, they are much lower risk for complications and typically have a quicker return of vision and recovery. [43] The Trabectome uses electrocautery via an internal approach to vaporize the trabecular meshwork, creating a large pathway for aqueous to flow, with minimal trauma to surrounding tissues. However, side effects of the transcleral approach can include significant inflammation, chronically low intraocular pressure, intraocular bleeding, and permanent shutdown of the eye, known as phthisis. [4] Increased intraocular pressure (IOP) is the main and only modifiable risk factor, attributed to the progression of the disease. Update on CyPass Micro-Stent: On August 29, 2018, Alcon announced an immediate, voluntary market withdrawal of the CyPass Micro-Stent from the global market and advised surgeons to immediately cease further implantation with the CyPass Micro-Stent. It stands for minimally invasive glaucoma surgery. Minimally Invasive Glaucoma Surgery (MIGS) MIGS (Minimally Invasive Glaucoma Surgery) is another type of treatment for open-angle glaucoma. … The XEN Gel Stent is an implantable transcleral microsurgical device that allows the aqueous fluid to drain from the anterior chamber into the subconjunctival space, a pathway utilized by traditional trabeculectomy and glaucoma drainage device surgeries. Dr Chelvin Sng (MBBChir, MA, FRCSEd) graduated from Cambridge University, UK, with triple first class honours and distinctions.She is amongst the first surgeons in Asia to be accredited in the use of several micro-invasive glaucoma surgery … [7] The trabecular outflow is one of the major outflow pathways for aqueous humor in the eye and has been the target of both pharmaceutical and surgical therapeutic approaches in glaucoma. When these two options are no longer sufficient or are not suitable, … During the last 25 years, glaucoma management has been based in the use of pharmaceutical therapies and incisional surgery. The procedures were designed to reduce the fluid-forming capacity of the eye by targeting the delicate tissue (ciliary body) that makes the fluid. [32] The Hydrus Microstent is currently being investigated in an FDA approved study for mild-to-moderate glaucoma. The rate of reoperation for complications was 22% in the tube group and 18% in the trabeculectomy group. The MIGS group of operations have been developed in recent years to reduce some of the complications of most standard glaucoma surgeries. [40], Endocyclophotocoagulation is indicated for the treatment of both open and closed angle glaucoma and is performed in eyes which have already undergone cataract surgery or performed concomitantly with cataract removal. Clinical data from a randomized controlled study demonstrates efficacy of the device at 1 and 2 years. While they are very often effective at lowering eye pressure and preventing progression of glaucoma, they have a long list of potential complications. Last reviewed on Two recent additions to the laser treatment procedures have proven useful even before the glaucoma is far advanced. These procedures … Increase; Decrease; Normal; Current Size: 100%. The ciliary body contains 72 protrusions known as ciliary processes, from which the aqueous is produced. [30] The Hydrus Microstent is the longest of the MIGS devices (8-millimeter long implant), and similar to the iStent it is designed to increase trabecular outflow. [19], The CyPass Micro-Stent is the first MIGS device developed for lowering of IOP through the suprachoroidal space (virtual space between the choroid and sclera created by implantation of the device), a part of the uveoscleral outflow pathway for aqueous humor. The goal of all glaucoma surgery is to lower eye pressure to prevent or reduce damage to the optic nerve. Minimally Invasive Glaucoma Surgery (MIGS) Potential Reported, Trabectome Surgery: A Minimally-Invasive Glaucoma Procedure, New Research Has The Potential to Improve Quality of Life Through Minimally Invasive Glaucoma Surgery, Catalyst for a Cure: A Clear Path to Vision Restoration, Totally internal or suprachoroidal shunts, Milder, gentler versions of laser photocoagulation. Medical and surgical management of glaucoma, cataract and diseases of the anterior segment, comprehensive ophthalmology, cataract surgery, combined cataract and glaucoma surgery, minimally-invasive glaucoma surgery, trabeculectomy, glaucoma drainage device surgery. [6][23][24][26] Data from a large randomized controlled pivotal study (The COMPASS Clinical Study) has reported positive efficacy after 2 years of follow-up and will be submitted to FDA for approval. Glaucoma is a disease that occurs when pressure from fluid buildup damages the optic nerve. May 2016 issue of Gleams. Alcon's decision and corresponding recommendation was based on an analysis of five-year post-surgery data from the COMPASS-XT long-term safety study. It includes different types of implants, stents or procedures used in conjunction with or without cataract surgery to help lower the pressure of the eye for patients with mild to moderate glaucoma. 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