Micro-invasive glaucoma surgery – an interventional glaucoma revolution
Abstract The glaucoma surgical landscape has changed dramatically over the last decade with the introduction and integration of micro-invasive glaucoma surgery (MIGS) techniques. These modalities target physiologic outflow pathways or optimize previously utilized glaucoma surgical methods in order t...
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| Format: | Article |
| Language: | English |
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BMC
2019-09-01
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| Series: | Eye and Vision |
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| Online Access: | http://link.springer.com/article/10.1186/s40662-019-0154-1 |
| _version_ | 1818848100936056832 |
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| author | Manjool Shah |
| author_facet | Manjool Shah |
| author_sort | Manjool Shah |
| collection | DOAJ |
| description | Abstract The glaucoma surgical landscape has changed dramatically over the last decade with the introduction and integration of micro-invasive glaucoma surgery (MIGS) techniques. These modalities target physiologic outflow pathways or optimize previously utilized glaucoma surgical methods in order to deliver safety, efficacy, and individualized care to the patient. MIGS techniques can be classified based on anatomical location as well as method of intraocular pressure (IOP) reduction. This review will focus on MIGS optimizing the conventional outflow pathway via intervention at Schlemm’s canal, MIGS optimizing the uveoscleral outflow pathway via suprachoroidal shunting, and MIGS optimizing the transscleral or subconjunctival outflow pathway which has long been utilized by glaucoma surgeons performing traditional filtration procedures. The wide array of currently available MIGS modalities can be staggering to the glaucoma care provider, but an understanding of the landscape and the large classes of interventional strategies can allow for clinical decision making based on the specifics of the patient’s needs and the pathophysiology of their disease. |
| first_indexed | 2024-12-19T06:11:59Z |
| format | Article |
| id | doaj.art-e7bfb8db477d433d863e9f7625f5b6b7 |
| institution | Directory Open Access Journal |
| issn | 2326-0254 |
| language | English |
| last_indexed | 2024-12-19T06:11:59Z |
| publishDate | 2019-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Eye and Vision |
| spelling | doaj.art-e7bfb8db477d433d863e9f7625f5b6b72022-12-21T20:32:59ZengBMCEye and Vision2326-02542019-09-01611510.1186/s40662-019-0154-1Micro-invasive glaucoma surgery – an interventional glaucoma revolutionManjool Shah0Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of MichiganAbstract The glaucoma surgical landscape has changed dramatically over the last decade with the introduction and integration of micro-invasive glaucoma surgery (MIGS) techniques. These modalities target physiologic outflow pathways or optimize previously utilized glaucoma surgical methods in order to deliver safety, efficacy, and individualized care to the patient. MIGS techniques can be classified based on anatomical location as well as method of intraocular pressure (IOP) reduction. This review will focus on MIGS optimizing the conventional outflow pathway via intervention at Schlemm’s canal, MIGS optimizing the uveoscleral outflow pathway via suprachoroidal shunting, and MIGS optimizing the transscleral or subconjunctival outflow pathway which has long been utilized by glaucoma surgeons performing traditional filtration procedures. The wide array of currently available MIGS modalities can be staggering to the glaucoma care provider, but an understanding of the landscape and the large classes of interventional strategies can allow for clinical decision making based on the specifics of the patient’s needs and the pathophysiology of their disease.http://link.springer.com/article/10.1186/s40662-019-0154-1Micro-invasive glaucoma surgeryGlaucomaIndividualized careGlaucoma surgery |
| spellingShingle | Manjool Shah Micro-invasive glaucoma surgery – an interventional glaucoma revolution Eye and Vision Micro-invasive glaucoma surgery Glaucoma Individualized care Glaucoma surgery |
| title | Micro-invasive glaucoma surgery – an interventional glaucoma revolution |
| title_full | Micro-invasive glaucoma surgery – an interventional glaucoma revolution |
| title_fullStr | Micro-invasive glaucoma surgery – an interventional glaucoma revolution |
| title_full_unstemmed | Micro-invasive glaucoma surgery – an interventional glaucoma revolution |
| title_short | Micro-invasive glaucoma surgery – an interventional glaucoma revolution |
| title_sort | micro invasive glaucoma surgery an interventional glaucoma revolution |
| topic | Micro-invasive glaucoma surgery Glaucoma Individualized care Glaucoma surgery |
| url | http://link.springer.com/article/10.1186/s40662-019-0154-1 |
| work_keys_str_mv | AT manjoolshah microinvasiveglaucomasurgeryaninterventionalglaucomarevolution |