Combined Microinvasive Glaucoma Surgery - A Review of the Literature and Future Directions

The use of microinvasive invasive glaucoma surgery (MIGS) in the treatment of glaucoma has increased exponentially over the last 10 years. However, practice patterns vary widely given the relative newness of these technologies. Some surgeons perform two or more MIGS simultaneously, such as those tha...

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Bibliographic Details
Published in:Seminars in ophthalmology 2023-08, Vol.38 (6), p.529-536
Main Authors: Mai, Derek D., Ingram, Zoe, Oberfeld, Blake, Solá-Del Valle, David
Format: Article
Language:English
Subjects:
CMIGS
Combination MIGS
Combined MIGS
Glaucoma - surgery
Glaucoma Drainage Implants
Humans
ICE1
ICE2
Intraocular Pressure
Ophthalmologic Surgical Procedures
PEcK
Tonometry, Ocular
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Summary:The use of microinvasive invasive glaucoma surgery (MIGS) in the treatment of glaucoma has increased exponentially over the last 10 years. However, practice patterns vary widely given the relative newness of these technologies. Some surgeons perform two or more MIGS simultaneously, such as those that target aqueous production and those that target aqueous outflow. These combined MIGS (cMIGS) may result in lower intraocular pressure (IOP) and reduced medication burden as compared to single MIGS (sMIGS). Current evidence suggests some cMIGS are more effective in reducing medication burden for at least 12 months versus sMIGS. This review focuses on the current evidence related to the efficacy of cMIGS as well as novel combinations of standalone MIGS, limitations of the current literature, and future directions for research.
ISSN:0882-0538
1744-5205
DOI:10.1080/08820538.2023.2181665