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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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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. |
format | Online Article Text |
id | pubmed-10525614 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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