Minimally Invasive Glaucoma Surgery in Primary Angle-Closure Glaucoma

Song, Yunhe; Zhang, Xiulan; Zhang, Yingze; Tang, Guangxian; Wan, Kelvin; Lee, Jacky; Congdon, Nathan; Zhang, Mingzhi; Wang, Wei; Tham, Clement C.; Leung, Christopher Kai-Shun; Weinreb, Robert N.; Lam, Dennis S.C.; Zhang, Xiulan

doi:10.1097/apo.0000000000000561

Cited by 16 publications

(13 citation statements)

References 118 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…G laucoma following cataract surgery (GFCS) is one of the most sight-threatening postoperative complications of pediatric cataract surgery, and often becomes refractory to medical treatment [1] . Goniotomy has been an increasingly popular procedure for primary open angle glaucoma and primary angle-closure glaucoma with 120-, 240-, or 360-degree [2] . The 120-degree goniotomy and 360-degree goniotomy (gonioscopy and microcatheter-assisted transluminal trabeculotomy; GATT) have been reported effective for childhood glaucoma [3][4] .…”

Section: Dear Editormentioning

confidence: 99%

Secondary in-the-bag intraocular lens implantation combined with 120- and 360-degree goniotomy in glaucoma following congenital cataract surgery: a case report

Song¹,

Zhang²,

Chen³

2023

Int J Ophthalmol

View full text Add to dashboard Cite

show abstract

Section: Dear Editormentioning

confidence: 99%

Secondary in-the-bag intraocular lens implantation combined with 120- and 360-degree goniotomy in glaucoma following congenital cataract surgery: a case report

Song¹,

Zhang²,

Chen³

2023

Int J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…GT combined with PEI and GSL is suitable for PACG with concurrent cataracts. 191,192,194,[199][200][201]…”

Section: Minimally Invasive Glaucoma Surgery For Angle Closure Glaucomamentioning

confidence: 99%

Minimally Invasive Glaucoma Surgery: Latest Developments and Future Challenges

Chan,

Larson,

Dickerson

et al. 2023

Asia-Pacific Journal of Ophthalmology

Self Cite

View full text Add to dashboard Cite

The development of minimally invasive glaucoma surgeries (MIGSs) was intended to provide safe and modestly efficacious modalities for early intervention of mild-to-moderate glaucoma, with minimal trauma and rapid recovery. They were mainly ab interno procedures that reduce intraocular pressure by facilitating the aqueous outflow by bypassing the trabecular meshwork resistance, reinforcing the uveoscleral flow via the supraciliary space, and reducing aqueous production by the ciliary body. While the cumulating evidence helps shape the role of the available MIGS, the exponential new development and advancement in this field has expanded the territory of MIGS. Apart from developing subconjunctival MIGS filtration devices (Xen gel stent and PRESERFLO MicroShunt), there is a tendency to revisit the “traditional” MIGS for alternative use and to modify the procedures with consideration of the fundamental aqueous outflow physiology. Combined MIGS has also been suggested, based on the theory that their different mechanisms may provide additive or synergistic effects. The advancement of laser procedures is also promising and could supplement unmet needs along the glaucoma treatment algorithm. This review examines the broad array of MIGS, updates the recent findings, discusses their potential alternative applications, and explores future challenges.

show abstract

“…3 Minimally invasive glaucoma surgery has become widely disseminated for the surgical treatment of glaucoma, particularly in POAG. [4][5][6] Goniotomy (GT), that is, ab interno trabeculotomy or trabecular meshwork-Schlemm canal (TM-SC) incision, a type of minimally invasive glaucoma surgery, is characterized by good results and rapid recovery and is commonly used in clinical practice. 7,8 The GT includes treatment over 120 degrees with a Kahook Dual Blade (KDB, New World Medical) 9,10 or Tanito Microhook (Inami and Co, Ltd.) 11 or others.…”

mentioning

confidence: 99%

Outcomes of Partial Versus Complete Goniotomy With or Without Phacoemulsification for Primary Open Angle Glaucoma: A Multicenter Study

Song

Zhu

Zhang

et al. 2023

Journal of Glaucoma

Self Cite

View full text Add to dashboard Cite

Précis: Goniotomy (GT) 120 degrees with or without phacoemulsification was sufficient to lower the intraocular pressure (IOP) and reduce hyphema for primary open angle glaucoma. Purpose: To compare the surgical outcomes and safety profiles of 120 degrees and 360 degrees GT with or without phacoemulsification cataract extraction and intraocular lens implantation (PEI) for primary open angle glaucoma. Patients and Methods: This multicenter retrospective study consisted of 139 eyes and was divided into 4 groups: (1) 120 degrees GT, (2) 360 degrees GT, (3) PEI + 120 degrees GT, and (4) PEI + 360 degrees GT. IOP, number of topical hypotensive medications, and complications were recorded and evaluated at baseline and at the final visit. The complete and qualified success rate and their potential associated factors were also investigated. The effectiveness and safety profile of the surgery were compared between different subgroups. Results: After a mean follow-up of 8.6 months, the IOP reduction was 13.2 ± 8.3 (38.8 ± 28.8%), 12.4 ± 8.3 (41.6 ± 18.2%), 12.8 ± 9.9 (39.4 ± 34.5%), and 13.8 ± 7.2 (46.0±17.1%) mm Hg in 120 degrees, 360 degrees, PEI + 120 degrees GT group, and PEI + 360 degrees GT, respectively. No significant difference was found in IOP, a decline of IOP from baseline, topical hypotensive medication, and complete or qualified success between either standalone 120 degrees versus 360 degrees GT, or PEI + 120 degrees versus PEI + 360 degrees GT (all Ps > 0.05). The PEI + 120 degrees GT group had a lower final IOP than the 120 degrees GT group (P = 0.0002) whereas there was no difference between PEI + 360 degrees GT and 360 degrees GT group (P = 0.893). Both 360 degrees GT and PEI + 360 degrees GT group had a significantly higher incidence of hyphema than the 120 degrees GT and PEI + 120 degrees GT groups (all Ps < 0.0001). Conclusions: GT of 120 or 360 degrees lowered IOP equally with or without cataract surgery, and hyphema was most commonly noted after complete GT. Partial GT alone or in combination with cataract surgery was an effective and safe approach to manage patients with open angle glaucoma.

show abstract

Minimally Invasive Glaucoma Surgery in Primary Angle-Closure Glaucoma

Cited by 16 publications

References 118 publications

Secondary in-the-bag intraocular lens implantation combined with 120- and 360-degree goniotomy in glaucoma following congenital cataract surgery: a case report

Secondary in-the-bag intraocular lens implantation combined with 120- and 360-degree goniotomy in glaucoma following congenital cataract surgery: a case report

Minimally Invasive Glaucoma Surgery: Latest Developments and Future Challenges

Outcomes of Partial Versus Complete Goniotomy With or Without Phacoemulsification for Primary Open Angle Glaucoma: A Multicenter Study

Contact Info

Product

Resources

About