iStent trabecular micro-bypass stent for open-angle glaucoma
Kim Le, Hady Saheb Department of Ophthalmology, McGill University, Montreal, QC, Canada Abstract: Trabecular micro-bypass stents, commonly known as iStents, are micro-invasive glaucoma surgery (MIGS) devices used to treat open-angle glaucoma. Like other MIGS procedures that enhance trabecular outfl...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2014-09-01
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| Series: | Clinical Ophthalmology |
| Online Access: | http://www.dovepress.com/istent-trabecular-micro-bypass-stent-for-open-angle-glaucoma-peer-reviewed-article-OPTH |
| _version_ | 1819005787160182784 |
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| author | Le K Saheb H |
| author_facet | Le K Saheb H |
| author_sort | Le K |
| collection | DOAJ |
| description | Kim Le, Hady Saheb Department of Ophthalmology, McGill University, Montreal, QC, Canada Abstract: Trabecular micro-bypass stents, commonly known as iStents, are micro-invasive glaucoma surgery (MIGS) devices used to treat open-angle glaucoma. Like other MIGS procedures that enhance trabecular outflow, the iStent lowers intraocular pressure (IOP) by creating a direct channel between the anterior chamber and Schlemm’s canal. iStents are typically implanted at the time of phacoemulsification for patients with open-angle glaucoma and visually significant cataracts. This review summarizes the published data regarding the efficacy, safety, and cost considerations of trabecular micro-bypass stents. Most studies found statistically significant reductions in mean IOP and ocular medication use after combined phacoemulsification with single or double iStent implantation. The devices were found to be very safe, with a safety profile similar to that of cataract surgery. Complications were infrequent, with the most common complications being temporary stent obstruction or malposition, which resolved with observation or secondary procedures. Future studies are needed to evaluate long-term outcomes, patient satisfaction, cost effectiveness, and expanded indications. Keywords: iStent, trabecular micro-bypass, glaucoma, MIGS, ab interno, surgery |
| first_indexed | 2024-12-20T23:58:20Z |
| format | Article |
| id | doaj.art-e7c62e33d73d4192b2a56bfcedf3c825 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-20T23:58:20Z |
| publishDate | 2014-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-e7c62e33d73d4192b2a56bfcedf3c8252022-12-21T19:22:40ZengDove Medical PressClinical Ophthalmology1177-54832014-09-012014default1937194518467iStent trabecular micro-bypass stent for open-angle glaucomaLe KSaheb HKim Le, Hady Saheb Department of Ophthalmology, McGill University, Montreal, QC, Canada Abstract: Trabecular micro-bypass stents, commonly known as iStents, are micro-invasive glaucoma surgery (MIGS) devices used to treat open-angle glaucoma. Like other MIGS procedures that enhance trabecular outflow, the iStent lowers intraocular pressure (IOP) by creating a direct channel between the anterior chamber and Schlemm’s canal. iStents are typically implanted at the time of phacoemulsification for patients with open-angle glaucoma and visually significant cataracts. This review summarizes the published data regarding the efficacy, safety, and cost considerations of trabecular micro-bypass stents. Most studies found statistically significant reductions in mean IOP and ocular medication use after combined phacoemulsification with single or double iStent implantation. The devices were found to be very safe, with a safety profile similar to that of cataract surgery. Complications were infrequent, with the most common complications being temporary stent obstruction or malposition, which resolved with observation or secondary procedures. Future studies are needed to evaluate long-term outcomes, patient satisfaction, cost effectiveness, and expanded indications. Keywords: iStent, trabecular micro-bypass, glaucoma, MIGS, ab interno, surgeryhttp://www.dovepress.com/istent-trabecular-micro-bypass-stent-for-open-angle-glaucoma-peer-reviewed-article-OPTH |
| spellingShingle | Le K Saheb H iStent trabecular micro-bypass stent for open-angle glaucoma Clinical Ophthalmology |
| title | iStent trabecular micro-bypass stent for open-angle glaucoma |
| title_full | iStent trabecular micro-bypass stent for open-angle glaucoma |
| title_fullStr | iStent trabecular micro-bypass stent for open-angle glaucoma |
| title_full_unstemmed | iStent trabecular micro-bypass stent for open-angle glaucoma |
| title_short | iStent trabecular micro-bypass stent for open-angle glaucoma |
| title_sort | istent trabecular micro bypass stent for open angle glaucoma |
| url | http://www.dovepress.com/istent-trabecular-micro-bypass-stent-for-open-angle-glaucoma-peer-reviewed-article-OPTH |
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