Angle-closure glaucoma

Device‐modified trabeculectomy for angle-closure glaucoma (ACG)

Surgical devices including shunts, and anti-fibrotic materials to reduce formation of scar tissue, are intended to improve the durability and safety of trabeculectomy.[52]Park J, Rittiphairoj T, Wang X, et al. Device-modified trabeculectomy for glaucoma. Cochrane Database Syst Rev. 2023 Mar 13;3(3):CD010472. https://pmc.ncbi.nlm.nih.gov/articles/PMC10010250 http://www.ncbi.nlm.nih.gov/pubmed/36912740?tool=bestpractice.com ​ Devices intended for use in patients with ACG include the Ex-PRESS shunt and the PreserFlo MicroShunt. Ologen, a biodegradable collagen implant, has been evaluated in patients with secondary ACG.[53]El-Saied HM, Abdelhakim MA. Trabeculectomy with ologen in secondary glaucomas following failed trabeculectomy with MMC: comparative study. Eye (Lond). 2016 Aug;30(8):1126-34. https://pmc.ncbi.nlm.nih.gov/articles/PMC4985671 http://www.ncbi.nlm.nih.gov/pubmed/27256305?tool=bestpractice.com