New Developments in the Surgical Treatment of Glaucoma
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Purpose of Review
In this review, we aimed to provide, in a structured format, an evidenced based review of the current state of minimally invasive surgical glaucoma management.
Numerous studies, mostly non-comparative, have demonstrated several new, safe, effective, and minimally invasive surgeries for the management of various stages of open-angle glaucomas. These surgeries can either be combined with cataract surgery or performed in isolation of cataract surgery. Most of the newer minimally invasive procedures ensure safety with a mild to moderate intraocular pressure (IOP) lowering effect. Two novel shunts, the InnFocus MicroShunt and XEN45, however, can provide substantial IOP reduction in a relatively safe fashion.
The future of glaucoma surgery is very bright, and there continue to be several safe, effective, and novel procedures for the management of various types of glaucomas.
KeywordsGlaucoma surgery MIGS GATT Ab interno trabeculotomy IStent Kahook Dual Blade XEN45 InnFocus MicroShunt CyPass Endocyclophotocoagulation (ECP)
Compliance with Ethical Standards
Conflicts of Interest
Davinder S. Grover reports personal fees from Allergan, personal fees from Reichert Technologies, and personal fees from New World Medical, outside the submitted work.
Helen L. Kornmann and Ronald L. Fellman declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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