Exploring the Correlation between Trabecular Meshwork Stripping and IOP Reduction in ab Interno Goniectomy
Minimally invasive glaucoma surgeries (MIGS) offer promising intraocular pressure (IOP) reduction with favorable safety profiles. This article explores whether increasing the extent of trabecular meshwork (TM) excision proportionally enhances IOP lowering outcomes. By critically analyzing recent stu...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | TNOA Journal of Ophthalmic Science and Research |
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| Online Access: | https://journals.lww.com/10.4103/tjosr.tjosr_25_25 |
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| _version_ | 1849337254603915264 |
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| author | Sahebaan Sethi |
| author_facet | Sahebaan Sethi |
| author_sort | Sahebaan Sethi |
| collection | DOAJ |
| description | Minimally invasive glaucoma surgeries (MIGS) offer promising intraocular pressure (IOP) reduction with favorable safety profiles. This article explores whether increasing the extent of trabecular meshwork (TM) excision proportionally enhances IOP lowering outcomes. By critically analyzing recent studies involving varied TM excision angles—from 30° to 360°—we highlight that although wider excisions may yield greater IOP reductions, the benefits tend to plateau beyond 90°, with 360° excision associated with higher complication rates such as hyphema. Evidence suggests that individualized treatment plans based on disease severity and anatomical variability are essential. Further prospective studies are warranted to establish optimal TM excision extents for maximal efficacy and safety in glaucoma management. |
| format | Article |
| id | doaj-art-153a449e53d9497a92cdc2cfedd3a7cc |
| institution | Kabale University |
| issn | 2589-4528 2589-4536 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | TNOA Journal of Ophthalmic Science and Research |
| spelling | doaj-art-153a449e53d9497a92cdc2cfedd3a7cc2025-08-20T03:44:45ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362025-04-0163223824010.4103/tjosr.tjosr_25_25Exploring the Correlation between Trabecular Meshwork Stripping and IOP Reduction in ab Interno GoniectomySahebaan SethiMinimally invasive glaucoma surgeries (MIGS) offer promising intraocular pressure (IOP) reduction with favorable safety profiles. This article explores whether increasing the extent of trabecular meshwork (TM) excision proportionally enhances IOP lowering outcomes. By critically analyzing recent studies involving varied TM excision angles—from 30° to 360°—we highlight that although wider excisions may yield greater IOP reductions, the benefits tend to plateau beyond 90°, with 360° excision associated with higher complication rates such as hyphema. Evidence suggests that individualized treatment plans based on disease severity and anatomical variability are essential. Further prospective studies are warranted to establish optimal TM excision extents for maximal efficacy and safety in glaucoma management.https://journals.lww.com/10.4103/tjosr.tjosr_25_25ab-interno needle goniectomycomparisoncorrelationminimally invasive glaucoma surgerytotal goniectomytrabecular meshwork stripping |
| spellingShingle | Sahebaan Sethi Exploring the Correlation between Trabecular Meshwork Stripping and IOP Reduction in ab Interno Goniectomy TNOA Journal of Ophthalmic Science and Research ab-interno needle goniectomy comparison correlation minimally invasive glaucoma surgery total goniectomy trabecular meshwork stripping |
| title | Exploring the Correlation between Trabecular Meshwork Stripping and IOP Reduction in ab Interno Goniectomy |
| title_full | Exploring the Correlation between Trabecular Meshwork Stripping and IOP Reduction in ab Interno Goniectomy |
| title_fullStr | Exploring the Correlation between Trabecular Meshwork Stripping and IOP Reduction in ab Interno Goniectomy |
| title_full_unstemmed | Exploring the Correlation between Trabecular Meshwork Stripping and IOP Reduction in ab Interno Goniectomy |
| title_short | Exploring the Correlation between Trabecular Meshwork Stripping and IOP Reduction in ab Interno Goniectomy |
| title_sort | exploring the correlation between trabecular meshwork stripping and iop reduction in ab interno goniectomy |
| topic | ab-interno needle goniectomy comparison correlation minimally invasive glaucoma surgery total goniectomy trabecular meshwork stripping |
| url | https://journals.lww.com/10.4103/tjosr.tjosr_25_25 |
| work_keys_str_mv | AT sahebaansethi exploringthecorrelationbetweentrabecularmeshworkstrippingandiopreductioninabinternogoniectomy |