The role of trabeculectomy in the era of minimally invasive glaucoma surgery.
Kalarn Sachin, Le Tinh, Rhee Douglas J
AI Summary
This review found MIGS combined with cataract surgery benefits glaucoma patients, potentially delaying incisional surgery, though trabeculectomy with MMC remains optimal for specific severe cases.
Abstract
Purpose of review: This review discusses recent findings in surgical management of glaucoma, focusing on trabeculectomy and minimally invasive glaucoma surgery (MIGS). We discuss how the role these procedures play in conjunction with phacoemulsification.
Recent findings: New findings of the Primary Trab Vs Tube study and findings regarding the Hydrus, Xen 45, Kahook dual blade, Ab-interno Canaloplasty and head-to-head MIGS studies are summarized.
Summary
Patients with glaucoma greatly benefit from combining cataract surgery with a MIGS procedure that can be tailored to disease severity and medication use. Certain MIGS combined with phacoemulsification in severe and refractory glaucoma can potentially delay incisional glaucoma, although trabeculectomy- mitomycin C (MMC) still remains the best option in certain patient populations. We provide an update in the MIGS treatment paradigm based on newer, stronger evidence.
MeSH Terms
Shields Classification
Key Concepts4
Patients with glaucoma greatly benefit from combining cataract surgery with a MIGS procedure that can be tailored to disease severity and medication use.
Certain MIGS combined with phacoemulsification in severe and refractory glaucoma can potentially delay incisional glaucoma.
Trabeculectomy-mitomycin C (MMC) still remains the best option in certain patient populations for glaucoma management.
Recent findings from the Primary Trab Vs Tube study and findings regarding the Hydrus, Xen 45, Kahook dual blade, Ab-interno Canaloplasty and head-to-head MIGS studies are summarized in this review.
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