Currently, all therapy for glaucoma is directed at lowering eye pressure, but the fundamental problem in glaucoma is the degeneration of the optic nerve fibers necessary for vision. Where the Money Goes.
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Minimally Invasive Glaucoma Surgery (MIGS)
Text Size. Contrast Dark on Light Light on Dark. What is Glaucoma? In This Section. What is MIGS? Catalyst for a Cure: A Clear Path to Vision Restoration Currently, all therapy for glaucoma is directed at lowering eye pressure, but the fundamental problem in glaucoma is the degeneration of the optic nerve fibers necessary for vision. Have a Question? Please enter your question in the Search box below.
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Website Sponsors We appreciate support from corporations who believe in our mission to educate glaucoma patients and speed a cure. To create the corneoscleral channel, a piece of tissue is removed with the surgical tool. The ideal filtration surgery should include minimal to no conjunctival dissection so as to prevent subconjunctival fibrosis, as expected in the MIMS procedure.
It should also maximize the amount of untouched conjunctiva so as to allow space for a repeat trabeculectomy or other glaucoma surgery in the future if required. In addition, because the surgical procedure is aimed to be for outpatients in the future, a faster and easier technique is always expected.
Preliminary trials of the MIMS procedure have been promising in primary open-angle glaucoma.
Mild subconjunctival hemorrhage Figure 4 , conjunctival button hole and postoperative mild anterior chamber reaction were some of the complications noted. OCT pictures revealed no major safety issues. All high-resolution OCT images of the channels demonstrated channel walls transparent to the OCT light with no signs of thermal or mechanical damage. Channels were recognized by OCT only by missing corneal tissue in their lumen ostium Figure 4. The channel wall has maintained its clarity on OCT throughout the 6-month follow-up period. The primary performance endpoint of obtaining surgical success, defined as the ability to surgically create a drainage channel, was However, control of IOP over the long term and morphological variations induced by conjunctival or sclera fibrotic changes have to be evaluated in future studies in a large population.
Nevertheless, interim reports on the MIMS technique show that the method may be promising in the near future to help make glaucoma surgery simpler. Disclosure: Agarwal reports he is a consultant for Sanoculis. Kumar reports no relevant financial disclosures. Tell us what you think about Healio. Login Register My Saved.
Canaloplasty: A Minimally Invasive and Maximally Effective Glaucoma Treatment
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Receive an email when new articles are posted on this topic. You have already added this topic to your email alerts. Click here to manage your alerts. MIMS system The surgical tool is composed of stainless steel Figure 1 and consists of a penetration tip to allow the insertion of the tool into the eye tissue; a mechanism for removal of the thin tissue layer; and a shank to enable the coupling of the instrument to the rotating system. Publication Date:. Look Inside. Product Description. Category: Ophthalmology. Category: Ophthalmology , Ophthalmology General. Rate this product.
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