The role of trabeculectomy in the era of minimally invasive glaucoma surgery

Sachin Kalarn; Tinh Le; Douglas J Rhee

doi:10.1097/ICU.0000000000000811

The role of trabeculectomy in the era of minimally invasive glaucoma surgery

Curr Opin Ophthalmol. 2022 Mar 1;33(2):112-118. doi: 10.1097/ICU.0000000000000811.

Authors

Sachin Kalarn¹, Tinh Le², Douglas J Rhee^{1

3}

Affiliations

¹ Department of Ophthalmology and Visual Sciences, University Hospitals, Cleveland Medical Center, Case Western Reserve University School of Medicine.
² Case Western Reserve University School of Medicine.
³ Eye Institute, University Hospitals, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

PMID: 35137708
DOI: 10.1097/ICU.0000000000000811

Abstract

Purpose of review: This review discusses recent findings in surgical management of glaucoma, focusing on trabeculectomy and minimally invasive glaucoma surgery (MIGS). We discuss how the role these procedures play in conjunction with phacoemulsification.

Recent findings: New findings of the Primary Trab Vs Tube study and findings regarding the Hydrus, Xen 45, Kahook dual blade, Ab-interno Canaloplasty and head-to-head MIGS studies are summarized.

Summary: Patients with glaucoma greatly benefit from combining cataract surgery with a MIGS procedure that can be tailored to disease severity and medication use. Certain MIGS combined with phacoemulsification in severe and refractory glaucoma can potentially delay incisional glaucoma, although trabeculectomy- mitomycin C (MMC) still remains the best option in certain patient populations. We provide an update in the MIGS treatment paradigm based on newer, stronger evidence.

Publication types

Review

MeSH terms

Cataract Extraction*
Glaucoma* / surgery
Humans
Intraocular Pressure
Minimally Invasive Surgical Procedures
Phacoemulsification*
Trabeculectomy*
Treatment Outcome