A review of the iStent® trabecular micro-bypass stent: safety and efficacy

Sarah R Wellik, Elizabeth A DaleDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, FL, USAAbstract: There is a significant demand for procedures that can effectively treat glaucoma with low risk and good visual outcomes. To fill this void, procedures termed &ld...

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Autores principales: Wellik SR, Dale EA
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Lenguaje:EN
Publicado: Dove Medical Press 2015
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Acceso en línea:https://doaj.org/article/b8c0878fcaf64c8f994e1b69a8cca525
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spelling oai:doaj.org-article:b8c0878fcaf64c8f994e1b69a8cca5252021-12-02T08:47:59ZA review of the iStent® trabecular micro-bypass stent: safety and efficacy1177-5483https://doaj.org/article/b8c0878fcaf64c8f994e1b69a8cca5252015-04-01T00:00:00Zhttp://www.dovepress.com/a-review-of-the-istentreg-trabecular-micro-bypass-stent-safety-and-eff-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Sarah R Wellik, Elizabeth A DaleDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, FL, USAAbstract: There is a significant demand for procedures that can effectively treat glaucoma with low risk and good visual outcomes. To fill this void, procedures termed “minimally invasive glaucoma surgery”, are gaining in popularity. This review will focus on the safety and efficacy of one such minimally invasive glaucoma surgery procedure, the trabecular micro-bypass stent. This stent is intended to lower intraocular pressure by directly cannulating Schlemm’s canal and thereby enhancing aqueous outflow. Recent randomized controlled trials and case series have demonstrated the micro-bypass stent to be a relatively safe procedure, with limited complications and no serious adverse sequelae. The most common complication across all studies was stent obstruction or malposition, which generally did not result in any adverse outcome in vision or pressure control. In addition, increased rates of hypotony, choroidal hemorrhage, or infection were not seen with the micro-bypass stent in comparison to cataract surgery alone.Keywords: glaucoma, minimally invasive glaucoma surgery, MIGS, Schlemm’s canal Wellik SRDale EADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 677-684 (2015)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Wellik SR
Dale EA
A review of the iStent® trabecular micro-bypass stent: safety and efficacy
description Sarah R Wellik, Elizabeth A DaleDepartment of Ophthalmology, Bascom Palmer Eye Institute, University of Miami, Miami, FL, USAAbstract: There is a significant demand for procedures that can effectively treat glaucoma with low risk and good visual outcomes. To fill this void, procedures termed “minimally invasive glaucoma surgery”, are gaining in popularity. This review will focus on the safety and efficacy of one such minimally invasive glaucoma surgery procedure, the trabecular micro-bypass stent. This stent is intended to lower intraocular pressure by directly cannulating Schlemm’s canal and thereby enhancing aqueous outflow. Recent randomized controlled trials and case series have demonstrated the micro-bypass stent to be a relatively safe procedure, with limited complications and no serious adverse sequelae. The most common complication across all studies was stent obstruction or malposition, which generally did not result in any adverse outcome in vision or pressure control. In addition, increased rates of hypotony, choroidal hemorrhage, or infection were not seen with the micro-bypass stent in comparison to cataract surgery alone.Keywords: glaucoma, minimally invasive glaucoma surgery, MIGS, Schlemm’s canal 
format article
author Wellik SR
Dale EA
author_facet Wellik SR
Dale EA
author_sort Wellik SR
title A review of the iStent® trabecular micro-bypass stent: safety and efficacy
title_short A review of the iStent® trabecular micro-bypass stent: safety and efficacy
title_full A review of the iStent® trabecular micro-bypass stent: safety and efficacy
title_fullStr A review of the iStent® trabecular micro-bypass stent: safety and efficacy
title_full_unstemmed A review of the iStent® trabecular micro-bypass stent: safety and efficacy
title_sort review of the istent® trabecular micro-bypass stent: safety and efficacy
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/b8c0878fcaf64c8f994e1b69a8cca525
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