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Micro-invasive glaucoma surgery – an interventional glaucoma revolution

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...

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Autor principal: Shah, Manjool
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766174/
https://www.ncbi.nlm.nih.gov/pubmed/31583261
http://dx.doi.org/10.1186/s40662-019-0154-1
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author Shah, Manjool
author_facet Shah, Manjool
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description 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.
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spelling pubmed-67661742019-10-03 Micro-invasive glaucoma surgery – an interventional glaucoma revolution Shah, Manjool Eye Vis (Lond) Review 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. BioMed Central 2019-09-29 /pmc/articles/PMC6766174/ /pubmed/31583261 http://dx.doi.org/10.1186/s40662-019-0154-1 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Shah, Manjool
Micro-invasive glaucoma surgery – an interventional glaucoma revolution
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 Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766174/
https://www.ncbi.nlm.nih.gov/pubmed/31583261
http://dx.doi.org/10.1186/s40662-019-0154-1
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