Asia Pac J Ophthalmol (Phila)September 202233 citations

Minimally Invasive Glaucoma Surgery in Primary Angle-Closure Glaucoma.

Song Yunhe, Zhang Hengli, Zhang Yingzhe, Tang Guangxian, Wan Kelvin H, Lee Jacky W Y, Congdon Nathan, Zhang Mingzhi, He Mingguang, Tham Clement C

View on PubMed DOI: 10.1097/APO.0000000000000561

AI Summary

This review explores MIGS's efficacy and safety for primary angle-closure glaucoma, finding its role in PACG management is still being clarified.

Abstract

Primary angle-closure glaucoma (PACG) is responsible for half of the glaucoma-related blindness worldwide. Cataract surgery with or without trabeculectomy has been considered to be the first-line treatment in eyes with medically uncontrolled PACG. While minimally invasive glaucoma surgery has become an important surgical approach for primary open-angle glaucoma, its indications and benefits in PACG are less clear. This review summarizes the efficacy and safety profile of minimally invasive glaucoma surgery in PACG to unfold new insights into the surgical management of PACG.

MeSH Terms

Glaucoma, Angle-ClosureGlaucoma, Open-AngleHumansIntraocular PressurePhacoemulsificationTrabeculectomy

Shields Classification

Ch. 12Pupillary Block Glaucomas

Ch. 40Filtering Surgery

Ch. 45Minimally Invasive Glaucoma Surgery (MIGS)

Key Concepts4

The indications and benefits of minimally invasive glaucoma surgery (MIGS) in primary angle-closure glaucoma (PACG) are less clear.

TreatmentReviewn=Not applicable

Primary angle-closure glaucoma (PACG) is responsible for half of the glaucoma-related blindness worldwide.

EpidemiologyReviewn=Not applicableCh10Ch13

Cataract surgery with or without trabeculectomy has been considered to be the first-line treatment in eyes with medically uncontrolled primary angle-closure glaucoma (PACG).

TreatmentReviewn=Not applicableCh41Ch45

Minimally invasive glaucoma surgery (MIGS) has become an important surgical approach for primary open-angle glaucoma.