Minimally Invasive Glaucoma Surgery (MIGS): A Glaucoma Procedure Revolution
Keywords:
MIGS, Glaucoma, DevicesAbstract
The principal treatment for eyes with glaucoma is reduction of intraocular pressure (IOP). Traditional glaucoma surgeries, such as trabeculectomy and glaucoma drainage device placement, are the most effective methods for achievement of target IOP after failed medication or laser therapy. However, these procedures are associated with possible sight-threatening adverse events, which involve cataract progression, suprachoroidal hemorrhage, hypotony maculopathy, and endophthalmitis. Minimally invasive glaucoma surgery (MIGS) utilizes innovative devices designed to reduce IOP, avoids medication side effects, and causes fewer complications than traditional surgeries. Some types of MIGS devices (e.g., Xen Gel Stents) have been used in many centers in Thailand. Because of the increasing options for treatment of patients with glaucoma, assessment of the advantages and disadvantages of MIGS devices may facilitate suitable treatment options for affected patients. Although MIGS remains a novel procedure, many studies have shown promising results regarding its ability to reduce IOP in a safe manner.
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