iStent trabecular micro-bypass stent for open-angle glaucoma

Kim Le, Hady Saheb Department of Ophthalmology, McGill University, Montreal, QC, Canada Abstract: Trabecular micro-bypass stents, commonly known as iStents, are micro-invasive glaucoma surgery (MIGS) devices used to treat open-angle glaucoma. Like other MIGS procedures that enhance trabecular outf...

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Autores principales:	Le K, Saheb H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/e7c62e33d73d4192b2a56bfcedf3c825
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spelling	oai:doaj.org-article:e7c62e33d73d4192b2a56bfcedf3c8252021-12-02T05:52:24ZiStent trabecular micro-bypass stent for open-angle glaucoma1177-5483https://doaj.org/article/e7c62e33d73d4192b2a56bfcedf3c8252014-09-01T00:00:00Zhttp://www.dovepress.com/istent-trabecular-micro-bypass-stent-for-open-angle-glaucoma-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483 Kim Le, Hady Saheb Department of Ophthalmology, McGill University, Montreal, QC, Canada Abstract: Trabecular micro-bypass stents, commonly known as iStents, are micro-invasive glaucoma surgery (MIGS) devices used to treat open-angle glaucoma. Like other MIGS procedures that enhance trabecular outflow, the iStent lowers intraocular pressure (IOP) by creating a direct channel between the anterior chamber and Schlemm’s canal. iStents are typically implanted at the time of phacoemulsification for patients with open-angle glaucoma and visually significant cataracts. This review summarizes the published data regarding the efficacy, safety, and cost considerations of trabecular micro-bypass stents. Most studies found statistically significant reductions in mean IOP and ocular medication use after combined phacoemulsification with single or double iStent implantation. The devices were found to be very safe, with a safety profile similar to that of cataract surgery. Complications were infrequent, with the most common complications being temporary stent obstruction or malposition, which resolved with observation or secondary procedures. Future studies are needed to evaluate long-term outcomes, patient satisfaction, cost effectiveness, and expanded indications. Keywords: iStent, trabecular micro-bypass, glaucoma, MIGS, ab interno, surgeryLe KSaheb HDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1937-1945 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Le K Saheb H iStent trabecular micro-bypass stent for open-angle glaucoma
description	Kim Le, Hady Saheb Department of Ophthalmology, McGill University, Montreal, QC, Canada Abstract: Trabecular micro-bypass stents, commonly known as iStents, are micro-invasive glaucoma surgery (MIGS) devices used to treat open-angle glaucoma. Like other MIGS procedures that enhance trabecular outflow, the iStent lowers intraocular pressure (IOP) by creating a direct channel between the anterior chamber and Schlemm’s canal. iStents are typically implanted at the time of phacoemulsification for patients with open-angle glaucoma and visually significant cataracts. This review summarizes the published data regarding the efficacy, safety, and cost considerations of trabecular micro-bypass stents. Most studies found statistically significant reductions in mean IOP and ocular medication use after combined phacoemulsification with single or double iStent implantation. The devices were found to be very safe, with a safety profile similar to that of cataract surgery. Complications were infrequent, with the most common complications being temporary stent obstruction or malposition, which resolved with observation or secondary procedures. Future studies are needed to evaluate long-term outcomes, patient satisfaction, cost effectiveness, and expanded indications. Keywords: iStent, trabecular micro-bypass, glaucoma, MIGS, ab interno, surgery
format	article
author	Le K Saheb H
author_facet	Le K Saheb H
author_sort	Le K
title	iStent trabecular micro-bypass stent for open-angle glaucoma
title_short	iStent trabecular micro-bypass stent for open-angle glaucoma
title_full	iStent trabecular micro-bypass stent for open-angle glaucoma
title_fullStr	iStent trabecular micro-bypass stent for open-angle glaucoma
title_full_unstemmed	iStent trabecular micro-bypass stent for open-angle glaucoma
title_sort	istent trabecular micro-bypass stent for open-angle glaucoma
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/e7c62e33d73d4192b2a56bfcedf3c825
work_keys_str_mv	AT lek istenttrabecularmicrobypassstentforopenangleglaucoma AT sahebh istenttrabecularmicrobypassstentforopenangleglaucoma
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iStent trabecular micro-bypass stent for open-angle glaucoma

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