Experimental models of glaucoma filtration surgery

Acta Ophthalmol. 2021 Feb;99(1):9-15. doi: 10.1111/aos.14485. Epub 2020 Jul 26.

Abstract

Glaucoma filtration surgery plays an important role in achieving intraocular pressure (IOP) reduction in patients who have high IOP despite maximum medical therapy. Preclinical experimental models of glaucoma filtration surgery contribute a great deal to our knowledge of the wound healing processes that predispose to scarring and may lead to poor outcomes. However, this research needs to be interpreted in the light of the specific study design, animal model and methods used. We review the existing literature addressing various models of experimental glaucoma filtration surgery, discuss the considerations in assessing these models and describe future steps in evaluating potential therapeutics and bleb characteristics that could impact translational research in this field.

Keywords: animal model; experimental glaucoma filtration surgery; fibrosis; glaucoma; glaucoma drainage device; glaucoma filtration surgery; scarring; trabeculectomy; wound healing.

Publication types

  • Review

MeSH terms

  • Animals
  • Filtering Surgery / methods*
  • Glaucoma / physiopathology
  • Glaucoma / surgery*
  • Humans
  • Intraocular Pressure / physiology*
  • Models, Theoretical*
  • Wound Healing