Micro-invasive glaucoma surgery (MIGS): a review of surgical procedures using stents

Lutz E Pillunat,1 Carl Erb,2 Anselm GM Jünemann,3 Friedemann Kimmich4 1Department of Ophthalmology, University Hospital Carl Gustav Carus, Dresden, 2Augenklinik am Wittenbergplatz, Berlin, Germany; 3Department of Ophthalmology University of Rostock, Rostock, Germany; 4eyecons, Karlsruhe, G...

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Autores principales:	Pillunat LE, Erb C, Jünemann AGM, Kimmich F
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Glaucoma micro-invasive glaucoma surgery MIGS iStent iStent inject CyPass Hydrus Xen. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3d53edc144b34fc784706ef5e9ce56f3
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spelling	oai:doaj.org-article:3d53edc144b34fc784706ef5e9ce56f32021-12-02T00:33:52ZMicro-invasive glaucoma surgery (MIGS): a review of surgical procedures using stents1177-5483https://doaj.org/article/3d53edc144b34fc784706ef5e9ce56f32017-08-01T00:00:00Zhttps://www.dovepress.com/micro-invasive-glaucoma-surgery-migs-a-review-of-surgical-procedures-u-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Lutz E Pillunat,1 Carl Erb,2 Anselm GM Jünemann,3 Friedemann Kimmich4 1Department of Ophthalmology, University Hospital Carl Gustav Carus, Dresden, 2Augenklinik am Wittenbergplatz, Berlin, Germany; 3Department of Ophthalmology University of Rostock, Rostock, Germany; 4eyecons, Karlsruhe, Germany Abstract: Over the last decade several novel surgical treatment options and devices for glaucoma have been developed. All these developments aim to cause as little trauma as possible to the eye, to safely, effectively, and sustainably reduce intraocular pressure (IOP), to produce reproducible results, and to be easy to adopt. The term “micro-invasive glaucoma surgery (MIGS)” was used for summarizing all these procedures. Currently MIGS is gaining more and more interest and popularity. The possible reduction of the number of glaucoma medications, the ab interno approach without damaging the conjunctival tissue, and the probably safer procedures compared to incisional surgical methods may explain the increased interest in MIGS. The use of glaucoma drainage implants for lowering IOP in difficult-to-treat patients has been established for a long time, however, a variety of new glaucoma micro-stents are being manufactured by using various materials and are available to increase aqueous outflow via different pathways. This review summarizes published results of randomized clinical studies and extensive case report series on these devices, including Schlemm’s canal stents (iStent®, iStent® inject, Hydrus), suprachoroidal stents (CyPass®, iStent® Supra), and subconjunctival stents (XEN). The article summarizes the findings of published material on efficacy and safety for each of these approaches. Keywords: glaucoma, micro-invasive glaucoma surgery, MIGS, iStent, iStent inject, CyPass, Hydrus, XENPillunat LEErb CJünemann AGMKimmich FDove Medical PressarticleGlaucomamicro-invasive glaucoma surgeryMIGSiStentiStent injectCyPassHydrusXen.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 1583-1600 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Glaucoma micro-invasive glaucoma surgery MIGS iStent iStent inject CyPass Hydrus Xen. Ophthalmology RE1-994
spellingShingle	Glaucoma micro-invasive glaucoma surgery MIGS iStent iStent inject CyPass Hydrus Xen. Ophthalmology RE1-994 Pillunat LE Erb C Jünemann AGM Kimmich F Micro-invasive glaucoma surgery (MIGS): a review of surgical procedures using stents
description	Lutz E Pillunat,1 Carl Erb,2 Anselm GM Jünemann,3 Friedemann Kimmich4 1Department of Ophthalmology, University Hospital Carl Gustav Carus, Dresden, 2Augenklinik am Wittenbergplatz, Berlin, Germany; 3Department of Ophthalmology University of Rostock, Rostock, Germany; 4eyecons, Karlsruhe, Germany Abstract: Over the last decade several novel surgical treatment options and devices for glaucoma have been developed. All these developments aim to cause as little trauma as possible to the eye, to safely, effectively, and sustainably reduce intraocular pressure (IOP), to produce reproducible results, and to be easy to adopt. The term “micro-invasive glaucoma surgery (MIGS)” was used for summarizing all these procedures. Currently MIGS is gaining more and more interest and popularity. The possible reduction of the number of glaucoma medications, the ab interno approach without damaging the conjunctival tissue, and the probably safer procedures compared to incisional surgical methods may explain the increased interest in MIGS. The use of glaucoma drainage implants for lowering IOP in difficult-to-treat patients has been established for a long time, however, a variety of new glaucoma micro-stents are being manufactured by using various materials and are available to increase aqueous outflow via different pathways. This review summarizes published results of randomized clinical studies and extensive case report series on these devices, including Schlemm’s canal stents (iStent®, iStent® inject, Hydrus), suprachoroidal stents (CyPass®, iStent® Supra), and subconjunctival stents (XEN). The article summarizes the findings of published material on efficacy and safety for each of these approaches. Keywords: glaucoma, micro-invasive glaucoma surgery, MIGS, iStent, iStent inject, CyPass, Hydrus, XEN
format	article
author	Pillunat LE Erb C Jünemann AGM Kimmich F
author_facet	Pillunat LE Erb C Jünemann AGM Kimmich F
author_sort	Pillunat LE
title	Micro-invasive glaucoma surgery (MIGS): a review of surgical procedures using stents
title_short	Micro-invasive glaucoma surgery (MIGS): a review of surgical procedures using stents
title_full	Micro-invasive glaucoma surgery (MIGS): a review of surgical procedures using stents
title_fullStr	Micro-invasive glaucoma surgery (MIGS): a review of surgical procedures using stents
title_full_unstemmed	Micro-invasive glaucoma surgery (MIGS): a review of surgical procedures using stents
title_sort	micro-invasive glaucoma surgery (migs): a review of surgical procedures using stents
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/3d53edc144b34fc784706ef5e9ce56f3
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Micro-invasive glaucoma surgery (MIGS): a review of surgical procedures using stents

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