|Year : 2017 | Volume
| Issue : 4 | Page : 325
Minimally invasive glaucoma surgery: A practical guide
Pratheeba Devi Nivean1, Murali Ariga2
1 Medical Director, M. N. Eye Hospital Pvt Ltd, Chennai, Tamil Nadu, India
2 Academic Director, M. N. Eye Hospital Pvt Ltd, Chennai, Tamil Nadu, India
|Date of Web Publication||25-Apr-2018|
Dr. Pratheeba Devi Nivean
M. N. Eye Hospital Pvt Ltd., 781, T H Road, Tondiarpet, Chennai - 600 021, Tamil Nadu
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Nivean PD, Ariga M. Minimally invasive glaucoma surgery: A practical guide. TNOA J Ophthalmic Sci Res 2017;55:325
Authors: Brian A Francis, Steven R Sarkisian, and James C Tan
Publisher: copyright @ 2017 by Thieme Medical Publishers, Inc
Thieme publishers - NY, 333 seventh avenue, New York NY 10001 USA
Thieme publishers Delhi
A- 12 2nd floor, Sector 2, Noida - 201301 Uttar Pradesh, India
Number of pages: 195
Glad to have got the opportunity to review the book “Minimally Invasive Glaucoma Surgery: A Practical Guide” by Dr. Brian A Francis, Dr. Steven R Sarkisian, and Dr. James C Tan. Medicine is an ever-changing science which has ongoing research and expanding knowledge endlessly. Glaucoma surgical techniques have advanced from the traumatic ones to atraumatic and minimally invasive ones.
The authors have given the concepts of minimally invasive glaucoma surgery (MIGS) elaborately in a simple and clear language with lot of illustrations. The authors have talked about many new gadgets which are Food and Drug Administration approved and are being tried successfully in glaucoma patients quite safely. Although trabeculectomy is a gold standard for glaucoma control, it is commonly associated with bleb-related side effects, infection, and late failures. It is an invasive procedure traumatizing the conjunctiva, so revision procedures might not have good results.
The authors have clearly demarcated the book into two sections. Section 1 is about the anatomical and physiological aspects of aqueous production and drainage. This helps the readers to understand the clinical procedures better subsequently. Section 2 is subdivided into four groups and the minimally invasive procedures in each group are elaborated in a clear way. Ab interno procedures to augment trabecular outflow procedures were illustrated well. The techniques and the complications are listed well. The literature review and analysis was also quite good and elaborate.
The concept of MIGS is to preserve the conjunctiva and to salvage the natural flow. These non invasive surgeries reduce intra ocular pressure by reducing the aqueous production or by increasing the aqueous outflow. Aqueous production is decreased by endoscopic ablation of the ciliary process and the outflow is increased by cauterizing the trabecular meshwork (TM) with trabectome, cutting strips of TM and by using stents. Any good changes should to be accepted. These surgeries are worth trying after having a clear knowledge about the anatomy and orientation.
To conclude, this book is a must for all practicing glaucoma specialists as it gives many new concepts which are acceptable. The surgeries might definitely have learning curve. The results are satisfying according to the studies mentioned here. Young budding ophthalmologists should also go through this book as the new concepts given can give raise to lot of research and studies in future.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.