Recent Advancements in Glaucoma Surgery—A Review
Surgery has long been an important treatment for limiting optic nerve damage and minimising visual loss in patients with glaucoma. Numerous improvements, modifications, and innovations in glaucoma surgery over recent decades have improved surgical safety, and have led to earlier and more frequent su...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Bioengineering |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2306-5354/10/9/1096 |
| _version_ | 1827727139295723520 |
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| author | Bryan Chin Hou Ang Sheng Yang Lim Bjorn Kaijun Betzler Hon Jen Wong Michael W. Stewart Syril Dorairaj |
| author_facet | Bryan Chin Hou Ang Sheng Yang Lim Bjorn Kaijun Betzler Hon Jen Wong Michael W. Stewart Syril Dorairaj |
| author_sort | Bryan Chin Hou Ang |
| collection | DOAJ |
| description | Surgery has long been an important treatment for limiting optic nerve damage and minimising visual loss in patients with glaucoma. Numerous improvements, modifications, and innovations in glaucoma surgery over recent decades have improved surgical safety, and have led to earlier and more frequent surgical intervention in glaucoma patients at risk of vision loss. This review summarises the latest advancements in trabeculectomy surgery, glaucoma drainage device (GDD) implantation, and minimally invasive glaucoma surgery (MIGS). A comprehensive search of MEDLINE, EMBASE, and CENTRAL databases, alongside subsequent hand searches—limited to the past 10 years for trabeculectomy and GDDs, and the past 5 years for MIGS—yielded 2283 results, 58 of which were included in the final review (8 trabeculectomy, 27 GDD, and 23 MIGS). Advancements in trabeculectomy are described in terms of adjunctive incisions, Tenon’s layer management, and novel suturing techniques. Advancements in GDD implantation pertain to modifications of surgical techniques and devices, novel methods to deal with postoperative complications and surgical failure, and the invention of new GDDs. Finally, the popularity of MIGS has recently promoted modifications to current surgical techniques and the development of novel MIGS devices. |
| first_indexed | 2024-03-10T23:01:16Z |
| format | Article |
| id | doaj.art-46659cd9f96e4fdf9813330114bc9397 |
| institution | Directory Open Access Journal |
| issn | 2306-5354 |
| language | English |
| last_indexed | 2024-03-10T23:01:16Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Bioengineering |
| spelling | doaj.art-46659cd9f96e4fdf9813330114bc93972023-11-19T09:37:36ZengMDPI AGBioengineering2306-53542023-09-01109109610.3390/bioengineering10091096Recent Advancements in Glaucoma Surgery—A ReviewBryan Chin Hou Ang0Sheng Yang Lim1Bjorn Kaijun Betzler2Hon Jen Wong3Michael W. Stewart4Syril Dorairaj5Department of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore 308433, SingaporeDepartment of Ophthalmology, National Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore 308433, SingaporeDepartment of Surgery, Tan Tock Seng Hospital, National Healthcare Group, Singapore 308433, SingaporeYong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, SingaporeDepartment of Ophthalmology, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Ophthalmology, Mayo Clinic, Jacksonville, FL 32224, USASurgery has long been an important treatment for limiting optic nerve damage and minimising visual loss in patients with glaucoma. Numerous improvements, modifications, and innovations in glaucoma surgery over recent decades have improved surgical safety, and have led to earlier and more frequent surgical intervention in glaucoma patients at risk of vision loss. This review summarises the latest advancements in trabeculectomy surgery, glaucoma drainage device (GDD) implantation, and minimally invasive glaucoma surgery (MIGS). A comprehensive search of MEDLINE, EMBASE, and CENTRAL databases, alongside subsequent hand searches—limited to the past 10 years for trabeculectomy and GDDs, and the past 5 years for MIGS—yielded 2283 results, 58 of which were included in the final review (8 trabeculectomy, 27 GDD, and 23 MIGS). Advancements in trabeculectomy are described in terms of adjunctive incisions, Tenon’s layer management, and novel suturing techniques. Advancements in GDD implantation pertain to modifications of surgical techniques and devices, novel methods to deal with postoperative complications and surgical failure, and the invention of new GDDs. Finally, the popularity of MIGS has recently promoted modifications to current surgical techniques and the development of novel MIGS devices.https://www.mdpi.com/2306-5354/10/9/1096glaucomatrabeculectomyglaucoma tube shuntsminimally invasive glaucoma surgerydeviceeye |
| spellingShingle | Bryan Chin Hou Ang Sheng Yang Lim Bjorn Kaijun Betzler Hon Jen Wong Michael W. Stewart Syril Dorairaj Recent Advancements in Glaucoma Surgery—A Review Bioengineering glaucoma trabeculectomy glaucoma tube shunts minimally invasive glaucoma surgery device eye |
| title | Recent Advancements in Glaucoma Surgery—A Review |
| title_full | Recent Advancements in Glaucoma Surgery—A Review |
| title_fullStr | Recent Advancements in Glaucoma Surgery—A Review |
| title_full_unstemmed | Recent Advancements in Glaucoma Surgery—A Review |
| title_short | Recent Advancements in Glaucoma Surgery—A Review |
| title_sort | recent advancements in glaucoma surgery a review |
| topic | glaucoma trabeculectomy glaucoma tube shunts minimally invasive glaucoma surgery device eye |
| url | https://www.mdpi.com/2306-5354/10/9/1096 |
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