Safety and Efficacy of Microinvasive Glaucoma Surgery

Microinvasive glaucoma surgery (MIGS) is emerging as a new therapeutic option for glaucoma patients who wish to reduce their medication burden and avoid the postoperative complications of conventional glaucoma filtration surgery. These devices differ in terms of their efficacy and safety profile. Sc...

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Main Authors: David Z. Chen, Chelvin C. A. Sng
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/3182935
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author David Z. Chen
Chelvin C. A. Sng
author_facet David Z. Chen
Chelvin C. A. Sng
author_sort David Z. Chen
collection DOAJ
description Microinvasive glaucoma surgery (MIGS) is emerging as a new therapeutic option for glaucoma patients who wish to reduce their medication burden and avoid the postoperative complications of conventional glaucoma filtration surgery. These devices differ in terms of their efficacy and safety profile. Schlemm’s canal devices have the most favorable safety profile at the compromise of modest efficacy, while subconjunctival and suprachoroidal devices are potentially more effective at lowering the intraocular pressure at the expense of a higher rate of complications. This review consolidates the latest evidence on the efficacy and safety of the MIGS devices in clinical use and provides an overview on upcoming devices which would likely also become viable treatment options in the near future. These clinical data would assist a glaucoma surgeon in selecting the most appropriate MIGS device for each patient based on the glaucoma severity and patient expectations.
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spelling doaj-art-b3b4e56abfe246748870570bdf5933482025-08-20T03:20:54ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/31829353182935Safety and Efficacy of Microinvasive Glaucoma SurgeryDavid Z. Chen0Chelvin C. A. Sng1Ophthalmology Department, National University Hospital, SingaporeOphthalmology Department, National University Hospital, SingaporeMicroinvasive glaucoma surgery (MIGS) is emerging as a new therapeutic option for glaucoma patients who wish to reduce their medication burden and avoid the postoperative complications of conventional glaucoma filtration surgery. These devices differ in terms of their efficacy and safety profile. Schlemm’s canal devices have the most favorable safety profile at the compromise of modest efficacy, while subconjunctival and suprachoroidal devices are potentially more effective at lowering the intraocular pressure at the expense of a higher rate of complications. This review consolidates the latest evidence on the efficacy and safety of the MIGS devices in clinical use and provides an overview on upcoming devices which would likely also become viable treatment options in the near future. These clinical data would assist a glaucoma surgeon in selecting the most appropriate MIGS device for each patient based on the glaucoma severity and patient expectations.http://dx.doi.org/10.1155/2017/3182935
spellingShingle David Z. Chen
Chelvin C. A. Sng
Safety and Efficacy of Microinvasive Glaucoma Surgery
Journal of Ophthalmology
title Safety and Efficacy of Microinvasive Glaucoma Surgery
title_full Safety and Efficacy of Microinvasive Glaucoma Surgery
title_fullStr Safety and Efficacy of Microinvasive Glaucoma Surgery
title_full_unstemmed Safety and Efficacy of Microinvasive Glaucoma Surgery
title_short Safety and Efficacy of Microinvasive Glaucoma Surgery
title_sort safety and efficacy of microinvasive glaucoma surgery
url http://dx.doi.org/10.1155/2017/3182935
work_keys_str_mv AT davidzchen safetyandefficacyofmicroinvasiveglaucomasurgery
AT chelvincasng safetyandefficacyofmicroinvasiveglaucomasurgery