Microinvasive glaucoma surgery: a review and classification of implant-dependent procedures and techniques.

Joanna Jabłońska, Katarzyna Lewczuk, Joanna Konopińska, Zofia Mariak, Marek Rękas

Acta ophthalmologica 2022 Mar

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The aim of this article is to discuss how physiology and anatomical background affect the effectiveness of implant-dependent microinvasive glaucoma surgery (MIGS). First, we provide a micro view of aqueous outflow and tissue behaviour. Second, we review studies exploring the mechanisms of the pressure-lowering effect of MIGS, as well as tissue behaviour during aqueous flow and tissue motion. We also describe and classify microinvasive surgical procedures and the most important types of implants, as well as their mechanisms of action, implantation techniques and efficacy. Further, we summarize the indications and surgical results presented in recent studies, providing an evidence-based update on novel and emerging MIGS techniques for the treatment of open-angle glaucoma. These data can help surgeons to personalize the management of glaucoma and to choose the best MIGS option for individual glaucoma patients. © 2021 The Authors. Acta Ophthalmologica published by John Wiley & Sons Ltd on behalf of Acta Ophthalmologica Scandinavica Foundation.

Citation

Joanna Jabłońska, Katarzyna Lewczuk, Joanna Konopińska, Zofia Mariak, Marek Rękas. Microinvasive glaucoma surgery: a review and classification of implant-dependent procedures and techniques. Acta ophthalmologica. 2022 Mar;100(2):e327-e338