- Covers the latest evidence-based approach in patient selection for MIGS
- Includes easy-to-follow algorithms, key points, and numerous illustrations and figures in each chapter
- Special section covers the controversies in the use of MIGS for indications other than primary open angle glaucoma and MIGS as a standalone procedure
- Provides guidance on clinical approach to intra-operative /post-operative complications with case scenarios
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.
Table of Contents- Overview of MIGS
- Anatomy of the Aqueous Outflow Drainage Pathways
- iStent: Trabecular Micro-Bypass Stent
- Ab-Interno Trabeculotomy
- Hydrus Microstent
- XEN Gel Implant
- PRESERFLO MicroShunt
- Suprachoroidal MIGS Devices
- New Modalities of Cycloablation and High-Intensity-Focused Ultrasound
- Controversies in the Use of MIGS
- Globalization of MIGS
