Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and Quality Assessment.
Abstract
Glaucoma is a common blinding disease; while there is no cure, effective treatments
include medications, laser, and incisional surgery. There is significant interest
from patients and doctors to develop safer surgical options throughout the spectrum
of disease, to minimize treatment burden in mild glaucoma patients and to minimize
risk of complications in patients needing more aggressive treatment. Surgical procedures
called Minimally or Micro-Invasive Glaucoma Surgery (MIGS) are growing in popularity.
Eighty-seven prospective studies on MIGS were identified and assessed for quality.
Most (74%) did not have a control group. Twelve of the highest quality were reviewed.
MIGS procedures appeared to have fewer complications, and lowered intraocular pressure,
and reduced medication use. Studies were limited by small sample size, narrow spectrum
of glaucomatous disease, and/or conflicts of interest. There is a need for high quality,
independently funded and performed, comparative studies on the MIGS to help make treatment
decisions.
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https://hdl.handle.net/10161/22324Published Version (Please cite this version)
10.2147/opth.s239772Publication Info
Rosdahl, Jullia A; & Gupta, Divakar (2020). Prospective Studies of Minimally Invasive Glaucoma Surgeries: Systematic Review and
Quality Assessment. Clinical ophthalmology (Auckland, N.Z.), 14. pp. 231-243. 10.2147/opth.s239772. Retrieved from https://hdl.handle.net/10161/22324.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Divakar Gupta
Associate Professor of Ophthalmology
Divakar Gupta, MD is a board certified, fellowship-trained ophthalmologist specializing
in the medical and surgical treatment of glaucoma and cataracts. He performs both
traditional glaucoma surgery such as trabeculectomy and glaucoma tube shunts, as well
as cutting-edge Minimally Invasive Glaucoma Surgery (MIGS). He is trained in the
latest surgical techniques of cataract and laser-assisted cataract surgery. Dr. Gupta
also offers premium intraocular lenses
Jullia Ann Rosdahl
Associate Professor of Ophthalmology
I am a glaucoma specialist at the Duke Eye Center.My passions are teaching, caring
for patients and doctors, and saving retinal ganglion cells.My research interests
include patient education and adherence, medical and surgical education, OCT imaging
for glaucoma, and physician wellness.
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