Full Description
The most comprehensive, up-to-date textbook on Minimally Invasive Glaucoma Surgery
Glaucoma affects millions of people worldwide and is the second leading cause of blindness. Major advances in innovative surgical techniques, collectively termed minimally invasive glaucoma surgery (MIGS), have revolutionized the field. These groundbreaking ophthalmic surgery approaches are effective, are not bleb-dependent, and they result in fewer complications. Authored by a Who's Who of prominent experts in the MIGS movement, this book represents the most comprehensive book written to date on the subject.
Leading glaucoma surgeons offer unique perspectives and experience gleaned from developing and mastering these state-of-the-art techniques. The first four sections discuss fundamental concepts of eye anatomy and structure, outflow implications, and aqueous production. The remaining sections cover the latest cutting-edge procedures elucidated through text descriptions and case studies, with the final two chapters offering insights into how to best incorporate MIGS into your practice and possibilities for combining MIGS procedures to expand the treatment algorithm for patients with more moderate to advanced disease. Meticulous, step-by-step drawings, photos, and surgical videos further delineate advanced MIGS techniques.
Select State-of-the-Art Procedures
Trabecular Outflow
Trabectome
Gonioscopic Assisted Transluminal Trabeculotomy (GATT)
Ab Interno 360 Degree Goniotomy (TRAB360)
iStent
Hydrus
Eximer Laser Trabeculoplasty
Uveoscleral Outflow
Canaloplasty
SOLX Gold Shunt
CyPass
iStent Supra
Aqueous Humor Reduction
Endoscopic Cyclophotocoagulation
Transconjunctival Filtration
Aquesys XEN Gel Stent
InnFocus Microshunt
This remarkable resource will enable ophthalmologists to incorporate cutting-edge MIGS into practice. It is a must have for any clinician who endeavors to advance the treatment of glaucoma.
Contents
1 New Options in the Treatment of Glaucoma
Section I Eye Anatomy and Physiology
1A Trabecular Outflow
2 Structure and Mechanisms of Trabecular Outflow
3 How Does Trabecular Bypass Affect the Relationship Between Schlemm's Canal Pressure and Episcleral Venous Pressure?
4 What Role Do Collector Channels Play in Determining Outcomes of Trabecular Bypass Surgery?
5 Segmental Aqueous Outflow and Trabecular Bypass
6 Pulsatile Aqueous Outflow Observations to Guide Glaucoma Surgery
7 The Effect of Ultrasound on Aqueous Dynamics
8 Sonic Effect on Aqueous Outflow
IB Uveoscleral Outflow
9 Structure and Mechanisms of Uveoscleral Outflow
10 What Is the Suprachoroidal Space and Can It Scar?
11 Suprachoroidal Drainage-Centenarian Progress: An Inventor's Perspective
12 Do Prostaglandins Make Uveoscleral Outflow More Pressure Dependent?
IC Aqueous Production
13 Structure and Mechanisms of Aqueous Production
14 How Does Cyclodestruction Affect Diurnal Intraocular Pressure Variation?
15 How Does Cyclodestruction Affect the Blood-Aqueous Barrier?
16 What Roles Do Posterior Ciliary Processes and Pars Plana Play in Aqueous Formation?
ID Subconjunctival Filtration
17 Structure and Mechanisms of Subconjunctival Outflow
18 Does Subconjunctival Filtration Affect Intraocular Pressure Fluctuation?
19 Benzalkonium Chloride and Outflow Resistance
20 The Fibroblast and Glaucoma Surgery
21 Imminent Replacements for Trabeculectomy
Section II Clinical Procedures
IIA Trabecular Outflow Procedures
22 Phacoemulsification Cataract Extraction
23 Trabeculotomy by Internal Approach: Trabectome
24 Trabeculotomy by Internal Approach: Dual Blade
25 Gonioscopy-Assisted Transluminal Trabeculotomy
26 Episcleral Venous Fluid Wave: A Snapshot of Patency of the Trabecular Outflow Pathway
27 360-Degree Ab Interno Trabeculotomy
28 Trabecular Bypass: iStent
29 Premium Intraocular Lenses in Minimally Invasive Glaucoma Surgery
30 Trabecular Bypass: Hydrus
31 Excimer Laser Trabeculostomy
IIB Uveoscleral Outflow Procedures
32 Canaloplasty
33 Ab Interno Viscodilation of Schlemm's Canal: VISCO 360 and ABiC
34 Suprachoroidal Shunt: SOLX Gold Shunt
35 Ab Interno Suprachoroidal Shunts: CyPass and iStent Supra
IIC Aqueous Humor Reduction Procedure
36 Endoscopic Cyclophotocoagulation
IID Transconjunctival Filtration Procedures
37 Translimbal Collagen Implant: AqueSys XEN Gel Stent
38 Translimbal SIBS Shunt: InnFocus MicroShunt
39 Combining Minimally Invasive Glaucoma Surgery Procedures
40 Incorporating Minimally Invasive Glaucoma Surgery Procedures Into One's Practice
