DESCRIPTION:
The book is provided open access under a CC BY 4.0 license. This book covers all aspects of micro-invasive glaucoma surgery (MIGS) and provides detailed information on each MIGS device, including its mechanism of action patient selection implantation techniques post-operative management and a review of the existing literature. Step-by-step descriptions are provided for the surgical technique used in implanting each MIGS device, accompanied by clear photographs of each surgical stage. Flow charts have been included to illustrate differences in patient selection between the respective devices, together with essential information on the anatomy and physiology of the different aqueous outflow pathways they use.
Further topics include intra-operative gonioscopy (with tips on optimising the view of the anterior chamber angle) and the management of intra-operative and post-operative complications. A separate section addresses the introduction of MIGS globally, including the consideration of different reimbursement environments and different types of glaucoma, e.g. angle closure glaucoma. Given its scope, the book assists both glaucoma surgeons and general ophthalmologists in overcoming the learning curve involved in performing MIGS, by providing valuable clinical and practical information.
C0NTENTS:
Overview of micro-invasive glaucoma surgery.
Anatomy of aqueous outflow drainage pathways.
MIGS: iStent Trabecular Microbypass Stent and iStent Inject.
MIGS: Ab Interno Trabeculotomy (Trabectome)
MIGS: Hydrus.
MIGS: XEN Implant.
MIGS: Microshunt.
MIGS: Cypass and iStent Supra.
MIGS: new modalities of cycloablation and high-intensity focused ultrasound.
Controversies in the use of MIGS.
Globalization of MIGS.
