Keywords
Minimally Invasive Procedures
Trabeculoplasty
Drainage implant
How to Cite
Abstract
INTRODUCTION: Glaucoma is a multifactorial ocular condition often associated with increased intraocular pressure (IOP), which can lead to progressive vision loss if not treated. Traditional management includes pharmacological and surgical interventions, such as trabeculectomy. Recently, minimally invasive glaucoma surgeries (MIGS) have emerged, aiming to reduce IOP with greater safety and faster recovery. These techniques are indicated for patients with mild to moderate glaucoma and have demonstrated efficacy with fewer complications. Devices such as the iStent and Hydrus Microstent represent innovations that allow for less traumatic interventions and can be combined with cataract surgery. Despite the advantages, the application of MIGS should be based on an assessment of each patient's individual needs. OBJECTIVE: The objective of this study is to evaluate the efficacy and safety of minimally invasive glaucoma surgeries (MIGS) compared to traditional glaucoma management approaches, considering the reduction of intraocular pressure (IOP). Additionally, it seeks to investigate the applicability of innovative devices, such as the iStent and Hydrus Microstent. METHODOLOGY: In this review, the databases PubMed and Scielo were consulted, with a search from 2010 to 2024, in Portuguese, English, and Spanish, using the terms: glaucoma, minimally invasive procedures, trabeculoplasty, and drainage implant. RESULTS: The study results indicated that both groups showed significant reductions in intraocular pressure (IOP), with the MIGS group reducing IOP from 24.5 mmHg to 16.2 mmHg and the trabeculectomy group from 25.0 mmHg to 13.5 mmHg. Although the reduction was greater in the trabeculectomy group, complications were significantly lower in the MIGS group, which also reported higher patient satisfaction and a reduced need for antiglaucomatous medications. Thus, MIGS proved to be an effective and safe alternative for glaucoma management. CONCLUSION: Minimally invasive procedures for glaucoma represent a significant advancement in managing this complex condition. However, continuous investigation into quality and safety is essential.
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Copyright (c) 2024 Bruna Aparecida Pereira Meazza, Carolina Dossena, Rhuan Nantes Fontoura Teofilo, Ana Beatriz Fortes Barbosa, Bruna Eduarda Martins , Yinlan Guan, Vanderlei Gomes, Laura de Sousa Lopes Vidal, Euller Condé Fernandes