New Devices in Glaucoma

Lilian Chan; Marlene R Moster; Amanda K Bicket; Arsham Sheybani; Steven R Sarkisian; Thomas W Samuelson; Iqbal Ike K Ahmed; Eydie Miller-Ellis; Oluwatosin U Smith; Qi N Cui

doi:10.1007/s40123-023-00780-3

New Devices in Glaucoma

Ophthalmol Ther. 2023 Oct;12(5):2381-2395. doi: 10.1007/s40123-023-00780-3. Epub 2023 Aug 9.

Authors

Affiliations

¹ Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania Perelman School of Medicine, 51 North 39th St., Philadelphia, PA, 19104, USA.
² Wills Eye Hospital, 840 Walnut St, Philadelphia, PA, 19107, USA.
³ Kellogg Eye Center, Department of Ophthalmology and Visual Sciences, Medical School, University of Michigan, 1000 Wall St, Ann Arbor, MI, 48105, USA.
⁴ Washington University School of Medicine, 660 South Euclid Ave, Campus Box 8096, St Louis, MO, 63110, USA.
⁵ Oklahoma Eye Surgeons, 5600 N Portland Ave, Oklahoma City, OK, 73112, USA.
⁶ Minnesota Eye Consultants, University of Minnesota, 909 Fulton St SE, Minneapolis, MN, 55455, USA.
⁷ Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Canada.
⁸ Prism Eye Institute, Mississauga, Canada.
⁹ John A. Moran Eye Center, University of Utah, 65 Mario Capecchi Drive, Salt Lake City, UT, 84132, USA.
¹⁰ Glaucoma Associates of Texas, 10740 N. Central Expy, Suite 300, Dallas, TX, 75231, USA.
¹¹ Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania Perelman School of Medicine, 51 North 39th St., Philadelphia, PA, 19104, USA. qi.cui@pennmedicine.upenn.edu.

^# Contributed equally.

Abstract

Glaucoma remains a leading cause of blindness globally. Minimally invasive treatment techniques are rapidly expanding the availability of therapeutic options for glaucoma. These include devices aimed at enhancing outflow through the subconjunctival space, Schlemm's canal, and suprachoroidal space, sustained-release drug delivery devices, and extraocular devices aiming to reduce glaucomatous progression through other novel means. In this review, we provide an overview of several novel devices either newly available or in development for the medical and surgical management of glaucoma. Further studies are required to determine the long-term efficacy of these devices and how they will integrate into the current landscape of glaucoma management.

Keywords: Delayed-action preparation; Excimer laser trabeculostomy; Glaucoma; Glaucoma drainage implants; MINIject; Minimally invasive glaucoma surgery; Minimally invasive micro sclerostomy; Multi-pressure dial; Visiplate; iDOSE.

Publication types

Review