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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...

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Autores principales: Ang, Bryan Chin Hou, Lim, Sheng Yang, Betzler, Bjorn Kaijun, Wong, Hon Jen, Stewart, Michael W., Dorairaj, Syril
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10525614/
https://www.ncbi.nlm.nih.gov/pubmed/37760198
http://dx.doi.org/10.3390/bioengineering10091096
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author Ang, Bryan Chin Hou
Lim, Sheng Yang
Betzler, Bjorn Kaijun
Wong, Hon Jen
Stewart, Michael W.
Dorairaj, Syril
author_facet Ang, Bryan Chin Hou
Lim, Sheng Yang
Betzler, Bjorn Kaijun
Wong, Hon Jen
Stewart, Michael W.
Dorairaj, Syril
author_sort Ang, Bryan Chin Hou
collection PubMed
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.
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spelling pubmed-105256142023-09-28 Recent Advancements in Glaucoma Surgery—A Review Ang, Bryan Chin Hou Lim, Sheng Yang Betzler, Bjorn Kaijun Wong, Hon Jen Stewart, Michael W. Dorairaj, Syril Bioengineering (Basel) 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 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. MDPI 2023-09-19 /pmc/articles/PMC10525614/ /pubmed/37760198 http://dx.doi.org/10.3390/bioengineering10091096 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Ang, Bryan Chin Hou
Lim, Sheng Yang
Betzler, Bjorn Kaijun
Wong, Hon Jen
Stewart, Michael W.
Dorairaj, Syril
Recent Advancements in Glaucoma Surgery—A Review
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 Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10525614/
https://www.ncbi.nlm.nih.gov/pubmed/37760198
http://dx.doi.org/10.3390/bioengineering10091096
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