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Newer FDA-Approved Incisional Therapies

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Clinical Glaucoma Care

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Abstract

A fundamental shift in philosophical direction is occurring in glaucoma surgery. This shift is toward restoring or exploiting of existing outflow pathways in hopes of avoiding the long-term complications of current incisional glaucoma therapy. The Trabectome and the iStent are two FDA-approved surgical therapies that increase trabecular outflow to lower IOP without the creation of a filtering bleb. The Trabectome surgery requires a Trabectome surgical unit, disposable single-use handpiece, and direct surgical gonioscope. The iStent requires an iStent pre-loaded on an applicator and a direct surgical gonioscope. Early results of both surgeries are comparable in terms of degree of technical difficulty, and both create postoperative IOPs in the mid to upper teens with decreased medical burden. These techniques are intended to integrate into cataract surgery to further minimize additional risks of these surgeries in mild to moderate disease state glaucoma patients.

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Author information

Authors and Affiliations

  1. Orange County Glaucoma, 1200 N. Tustin Ave., S.240, Santa Ana, CA, 92705, USA

    Richard Hill MD

  2. Department of Ophthalmology and Pathology, Douglas Hospital, University of California Irvine, 101 The City Drive South, Bldg 1 Douglas Hospital, Rm 3628, Orange, CA, 92868-4805, USA

    Donald Minckler MD, MS

Authors
  1. Richard Hill MD
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  2. Donald Minckler MD, MS
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Correspondence to Richard Hill MD .

Editor information

Editors and Affiliations

  1. Rocky Visa University, Littleton, Colorado, USA

    John R. Samples

  2. Visual Health Center, Palm Springs, Florida, USA

    Paul N. Schacknow

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© 2014 Springer Science+Business Media New York

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Hill, R., Minckler, D. (2014). Newer FDA-Approved Incisional Therapies. In: Samples, J., Schacknow, P. (eds) Clinical Glaucoma Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4172-4_28

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  • DOI: https://doi.org/10.1007/978-1-4614-4172-4_28

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4171-7

  • Online ISBN: 978-1-4614-4172-4

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