Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment

Jullia A Rosdahl, Divakar Gupta Department of Ophthalmology, Duke University, Durham, NC 27710, USACorrespondence: Jullia A RosdahlDepartment of Ophthalmology, Duke University, 2351 Erwin Road, DUMC 3802, Durham, NC 27710, USATel +1 919-684-8850Fax +1 919-681-8267Email Jullia.rosdahl@duke.eduAbstrac...

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Autores principales: Rosdahl JA, Gupta D
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:ed4dc044adcd45db9b5ea2f17e8f174f2021-12-02T04:34:01ZProspective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment1177-5483https://doaj.org/article/ed4dc044adcd45db9b5ea2f17e8f174f2020-01-01T00:00:00Zhttps://www.dovepress.com/prospective-studies-of-minimally-invasive-glaucoma-surgeries-systemati-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Jullia A Rosdahl, Divakar Gupta Department of Ophthalmology, Duke University, Durham, NC 27710, USACorrespondence: Jullia A RosdahlDepartment of Ophthalmology, Duke University, 2351 Erwin Road, DUMC 3802, Durham, NC 27710, USATel +1 919-684-8850Fax +1 919-681-8267Email Jullia.rosdahl@duke.eduAbstract: Glaucoma is a common blinding disease; while there is no cure, effective treatments include medications, laser, and incisional surgery. There is significant interest from patients and doctors to develop safer surgical options throughout the spectrum of disease, to minimize treatment burden in mild glaucoma patients and to minimize risk of complications in patients needing more aggressive treatment. Surgical procedures called Minimally or Micro-Invasive Glaucoma Surgery (MIGS) are growing in popularity. Eighty-seven prospective studies on MIGS were identified and assessed for quality. Most (74%) did not have a control group. Twelve of the highest quality were reviewed. MIGS procedures appeared to have fewer complications, and lowered intraocular pressure, and reduced medication use. Studies were limited by small sample size, narrow spectrum of glaucomatous disease, and/or conflicts of interest. There is a need for high quality, independently funded and performed, comparative studies on the MIGS to help make treatment decisions.Keywords: MIGS, angle surgery, ab interno, microinvasive, glaucoma treatmentRosdahl JAGupta DDove Medical Pressarticlemigsangle surgeryab internomicroinvasiveglaucoma treatmentOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 231-243 (2020)
institution DOAJ
collection DOAJ
language EN
topic migs
angle surgery
ab interno
microinvasive
glaucoma treatment
Ophthalmology
RE1-994
spellingShingle migs
angle surgery
ab interno
microinvasive
glaucoma treatment
Ophthalmology
RE1-994
Rosdahl JA
Gupta D
Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment
description Jullia A Rosdahl, Divakar Gupta Department of Ophthalmology, Duke University, Durham, NC 27710, USACorrespondence: Jullia A RosdahlDepartment of Ophthalmology, Duke University, 2351 Erwin Road, DUMC 3802, Durham, NC 27710, USATel +1 919-684-8850Fax +1 919-681-8267Email Jullia.rosdahl@duke.eduAbstract: Glaucoma is a common blinding disease; while there is no cure, effective treatments include medications, laser, and incisional surgery. There is significant interest from patients and doctors to develop safer surgical options throughout the spectrum of disease, to minimize treatment burden in mild glaucoma patients and to minimize risk of complications in patients needing more aggressive treatment. Surgical procedures called Minimally or Micro-Invasive Glaucoma Surgery (MIGS) are growing in popularity. Eighty-seven prospective studies on MIGS were identified and assessed for quality. Most (74%) did not have a control group. Twelve of the highest quality were reviewed. MIGS procedures appeared to have fewer complications, and lowered intraocular pressure, and reduced medication use. Studies were limited by small sample size, narrow spectrum of glaucomatous disease, and/or conflicts of interest. There is a need for high quality, independently funded and performed, comparative studies on the MIGS to help make treatment decisions.Keywords: MIGS, angle surgery, ab interno, microinvasive, glaucoma treatment
format article
author Rosdahl JA
Gupta D
author_facet Rosdahl JA
Gupta D
author_sort Rosdahl JA
title Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment
title_short Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment
title_full Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment
title_fullStr Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment
title_full_unstemmed Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment
title_sort prospective studies of minimally invasive glaucoma surgeries: systematic review and quality assessment
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/ed4dc044adcd45db9b5ea2f17e8f174f
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