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Minimally Invasive Glaucoma Surgery: A Critical Appraisal of the Literature.
Annual Review of Vision Science ( IF 6 ) Pub Date : 2020-09-16 , DOI: 10.1146/annurev-vision-121219-081737
David J Mathew 1 , Yvonne M Buys 1
Affiliation  

Micro- or minimally invasive glaucoma surgeries (MIGS) have been the latest addition to the glaucoma surgical treatment paradigm. This term refers not to a single surgery, but rather to a group of distinct procedures and devices that aim to decrease intraocular pressure. Broadly, MIGS can be categorized into surgeries that increase the trabecular outflow [Trabectome, iStent (first and second generations), Hydrus microstent, Kahook Dual Blade and gonioscopy-assisted transluminal trabeculotomy], surgeries that increase suprachoroidal outflow (Cypass microstent and iStent Supra), and conjunctival bleb-forming procedures (Xen gel stent and InnFocus microshunt). Compared to traditional glaucoma surgeries, such as trabeculectomy and glaucoma drainage device implantation (Ahmed, Baerveldt, and Molteno valves), MIGS are touted to have less severe complications and shorter surgical time. MIGS represent an evolving field, and the efficacy and complications of each procedure should be considered independently, giving more importance to high-quality and longer-term studies.

中文翻译:


微创青光眼手术:对文学的批判。

微创或微创性青光眼手术(MIGS)是青光眼手术治疗范例的最新成员。该术语不是指单个手术,而是指旨在降低眼内压的一组不同的程序和设备。大致来说,MIGS可以分为增加小梁流出量的手术[Trabectome,iStent(第一代和第二代),Hydrus微支架,Kahook双刀和针刺镜辅助的经腔小梁切开术],增加脉络膜上腔流出的手术(Cypass微支架和iStent上文) ,以及结膜起泡过程(Xen凝胶支架和InnFocus microshunt)。与传统的青光眼手术(如小梁切除术和青光眼引流装置植入术(Ahmed,Baerveldt和Molteno瓣膜))相比,MIGS被吹捧为并发症少,手术时间短。MIGS代表了一个不断发展的领域,每个程序的功效和并发症都应独立考虑,从而更加重视高质量和长期研究。

更新日期:2020-09-18
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