Table of Contents: Minimally Invasive Glaucoma Surgery.

Minimally Invasive Glaucoma Surgery.

Bibliographic Details
Main Author:	Sng, Chelvin C. A.
Other Authors:	Barton, Keith.
Format:	eBook
Language:	English
Published:	Singapore : Springer Singapore Pte. Limited, 2020.
Edition:	1st ed.
Subjects:	Electronic books.
Online Access:	Click to View

Table of Contents:

Intro
Foreword
Contents
About the Editors
1: Overview of MIGS
1.1 Trabecular Meshwork MIGS Devices and Techniques
1.2 Subconjunctival MIGS Devices
1.3 Suprachoroidal MIGS Devices
1.4 Cyclophotocoagulation (CPC) Procedures
1.5 Overview Summary
References
2: Anatomy of the Aqueous Outflow Drainage Pathways
2.1 Introduction
2.2 Aqueous Humour Outflow
2.3 Trabecular Meshwork
2.4 Schlemm's Canal
2.5 Uveoscleral Outflow
2.6 Physiological Characteristics of Unconventional Outflow
2.7 Conjunctival Lymphatic System
2.8 Conclusions
References
3: iStent: Trabecular Micro-Bypass Stent
3.1 Device Design
3.2 Patient Selection
3.3 Surgical Technique
3.3.1 Avoiding Complications and Surgical Pearls
3.3.2 Postoperative Management
3.4 Safety, Efficacy, and Clinical Results
3.4.1 iStent Trabecular Micro-Bypass Stent
3.4.2 iStent inject
3.5 Off-Label Use
3.6 Conclusion
References
4: Ab-Interno Trabeculotomy
4.1 Introduction
4.2 Trabectome Device
4.3 Trabectome Procedure
4.4 Surgical Planning
4.4.1 Target IOP
4.4.2 Trabectome Can Be Performed in Patients with Narrow Angles
4.4.3 Contraindications
4.5 Results of Trabectome
4.5.1 Quality of Evidence
4.5.2 Clinical Efficacy
4.5.2.1 Trabectome-Alone
4.5.2.2 Trabectome-Alone Versus Trabeculectomy with Mitomycin C
4.5.2.3 Phaco-Trabectome Versus Trabectome-Alone
4.5.3 Phaco-Trabectome Versus Phaco-iStent
4.5.4 Preoperative Glaucoma Severity on Surgical Outcome
4.5.5 Other Potential Factors Affecting Efficacy
4.5.5.1 Does Prior Ineffective Selective Laser Trabeculoplasty (SLT) Alter Trabectome Outcomes?
4.5.5.2 Trabectome for Patients with Secondary Open-Angle Glaucoma.
4.5.5.3 Trabectome Can Be Performed in Patients with Previous Failed Trabeculectomy
4.5.5.4 Intraoperative Prognosticator for Postoperative Outcome
4.6 Complications of Trabectome
4.7 After Trabectome Has Failed
4.7.1 Does Trabectome Surgery Impact Future Glaucoma Surgery Outcomes?
4.7.2 Gonioscopy-Assisted Transluminal Trabeculotomy (GATT) Procedure as a Potential Treatment Option After Failed Trabectome Surgery
4.8 Conclusion
References
5: Hydrus Microstent
5.1 Introduction
5.2 Material/Design
5.2.1 Mechanism of Action
5.3 Ex Vivo Testing
5.4 Surgical Technique
5.5 Site of Implantation
5.6 Patients
5.7 Efficacy
5.8 Safety
5.9 Conclusion
References
6: XEN Gel Implant
6.1 Device Design and Evolution
6.2 Patient Selection
6.3 Surgical Technique
6.3.1 Avoiding Complications and Surgical Pearls
6.3.2 Postoperative Management
6.4 Safety, Efficacy, and Clinical Results
6.5 Off-Label Use
6.6 Conclusion
References
7: PRESERFLO MicroShunt
7.1 Introduction
7.2 Device Design and Development
7.3 Development of SIBS
7.4 Clinical Data
7.5 Patient Selection
7.6 Surgical Technique
7.7 Complications
7.7.1 Intraoperative Complications
7.7.2 Early Postoperative Complications
7.7.3 Late Complications
7.8 Conclusion
References
8: Suprachoroidal MIGS Devices
8.1 Introduction
8.2 Physiology of the Suprachoroidal Outflow Pathway
8.3 Early Surgical Approaches
8.4 Ab-Externo Suprachoroidal Devices
8.5 Ab-Interno Suprachoroidal MIGS Devices
8.5.1 CyPass Micro-Stent
8.5.1.1 Surgical Technique
Poor Visualization of the Anterior Chamber Angle
Resistance Encountered During Implantation
Position of Device Too Anterior
Position of Device Too Posterior.
8.5.1.2 Mechanism of Action
8.5.1.3 Efficacy
8.5.1.4 Complications
Intra-operative Complications
Post-operative Complications
Inflammation
Hypotony
IOP Spikes
Hyphaema
Deterioration in Vision (Loss of ≥2 Lines of BCVA)
Device Occlusion
Device Malposition
Additional Glaucoma Surgery
Corneal Endothelial Cell Loss and Corneal Decompensation
Cataract Progression
8.5.2 iStent Supra
8.5.2.1 Implantation Technique
8.5.2.2 Efficacy and Safety
8.5.3 MINIject
8.5.3.1 Implantation Technique
8.5.3.2 Efficacy and Safety
References
9: New Modalities of Cycloablation and High-Intensity-Focused Ultrasound
9.1 Introduction
9.2 Transscleral Diode Cyclophotocoagulation (TSCPC)
9.2.1 Procedure
9.2.2 Indications
9.2.3 Results
9.2.4 Complications
9.3 Micropulse Transscleral Cyclophotocoagulation (MP-TSCPC)
9.3.1 Procedure
9.3.2 Indications
9.3.3 MP-TSCPC vs. TSCPC
9.3.4 Results
9.3.5 Complications
9.4 High-Intensity Focused Ultrasound (HIFU)
9.4.1 Procedure
9.4.2 Mechanism
9.4.3 Results
9.4.4 Complications
9.5 Conclusion
References
10: Controversies in the Use of MIGS
10.1 Introduction
10.2 Phaco Alone Versus Phaco/MIGS, Is It Worth It?
10.3 Trabecular Meshwork and Canal-Based Procedures: Cut Versus Stent Versus Dilate
10.4 Endothelial Cell Loss and MIGS
10.5 Is the Suprachoroidal Space Dead?
10.6 The Great Debate: Subconjunctival MIGS and Trabeculectomy
References
11: Globalization of MIGS
11.1 Introduction
11.2 Cost
11.3 Distribution Channels
11.4 Surgical Training
11.5 Patients
11.6 Regulatory Considerations and Other Concerns
11.7 Conclusion
References
Appendix A: iStent Trabecular Micro-Bypass Stent Implantation Narrative Instructions.
Step 1: Patient Positioning and Setup
Step 2: Adjusting Microscope and Identifying Landmarks
Step 3: Accessing Anterior Chamber
Step 4: Accessing Implantation Site
Step 5: Stent Implantation (Left Eye Example)
Step 6: Viscoelastic Removal
Appendix B: iStent inject Implantation Narrative Instructions
Step 1: Patient Positioning and Setup
Step 2: Adjusting Microscope and Identifying Landmarks
Step 3: Accessing Anterior Chamber
Step 4: Accessing Implantation Site
Step 5: Stent Implantation
Step 6: Viscoelastic Removal
Appendix C: iStent Supra Narrative Instructions
Step 1: Patient Positioning and Setup
Step 2: Adjusting Microscope and Identifying Landmarks
Step 3: Accessing Anterior Chamber
Step 4: Accessing Implantation Site
Step 5: Stent Implantation
Step 6: Viscoelastic Removal
Appendix D: Trabectome
Step 1: Clear Corneal Incision
Step 2: Lower Anterior Chamber Intraocular Pressure to Visualize Schlemm's Canal
Step 3: Microscope Tilt and Head
Step 4: Goniolens Placement
Step 5: Removal of Trabecular Meshwork
Step 6: Irrigate, Aspirate, and Suture (With or Without Phaco)
Appendix E: Hydrus Microstent Procedure Steps
Step 1
Step 2
Step 3
Step 4
Step 5
Step 6
Step 7
Step 8
Step 9
Appendix F: XEN Gel Implant
Appendix G: PRESERFLO MicroShunt Glaucoma Device Surgical Technique
Preparation of PRESERFLO MicroShunt.

Minimally Invasive Glaucoma Surgery.

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