Recent Advances in Glaucoma Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Ophthalmology".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 1610

Special Issue Editor


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Guest Editor
Department of Ophthalmology, University Eye Hospital, Eberhard Karls University Tuebingen, Tuebingen, Germany
Interests: glaucoma; glaucoma surgery; MIGS; intraocular pressure

Special Issue Information

Dear Colleagues,

We have seen remarkable innovations in glaucoma treatment and management over the last ten years. The way we treat glaucoma is continuously changing and improving with the introduction of novel medications, laser procedures, and surgical methods. Patients’ quality of life has never been put so much at the center of our glaucoma management as today. In this Special Issue, we would like to highlight some of the recent advances in glaucoma treatment and management that have the potential to change our daily clinical practice.

Dr. Bogomil Voykov
Guest Editor

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Keywords

  • glaucoma
  • MIGS
  • microinvasive glaucoma surgery
  • quality of life
  • sustained-release drugs
  • wound healing modula-tion
  • intraocular pressure
  • intraocular pressure-lowering medication
  • microstent-supported bleb surgery
  • MIBS
  • neuroprotection

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Published Papers (1 paper)

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Research

11 pages, 1447 KiB  
Article
Two-Year Results of XEN Gel Stent Implantation for Pseudoexfoliative Glaucoma in Phakic versus Pseudophakic Eyes
by Emil Nasyrov, David A. Merle, Caroline J. Gassel, Daniel A. Wenzel and Bogomil Voykov
J. Clin. Med. 2024, 13(14), 4066; https://doi.org/10.3390/jcm13144066 - 11 Jul 2024
Cited by 1 | Viewed by 1157
Abstract
Objectives: To investigate whether phakia affects the outcome of XEN-45 gel stent implantation in the treatment of pseudoexfoliative glaucoma (PXG). Methods: A retrospective, comparative cohort study of 30 phakic and 55 pseudophakic PXG patients who received the XEN-45 gel stent at [...] Read more.
Objectives: To investigate whether phakia affects the outcome of XEN-45 gel stent implantation in the treatment of pseudoexfoliative glaucoma (PXG). Methods: A retrospective, comparative cohort study of 30 phakic and 55 pseudophakic PXG patients who received the XEN-45 gel stent at a tertiary centre. The primary outcome measure was two-year success defined as a ≥20% lowering of intraocular pressure (IOP) and a target IOP of 6–21 mmHg. Success was complete without and qualified irrespective of antiglaucoma medication use. Further glaucoma surgery other than needling was regarded as a failure. The secondary outcome measures included changes in IOP, revision and complication rates. Results: The complete two-year success rates were 70% and 59% in the phakic and pseudophakic groups, respectively (p = 0.75, log-rank test), and the qualified rates were 80% and 72%, respectively (p = 0.89). The median IOP reduction from baseline was 54% in phakic, and 46% in pseudophakic eyes. While needling rates were similar, the incidence of early incisional bleb revisions was significantly higher in the phakic eyes (13% vs. 0% within 3 months; p = 0.0098, chi-square). Increasing after a year, significantly more pseudophakic eyes failed due to secondary glaucoma surgery (16% vs. 0%; p = 0.0191). Conclusions: The XEN-45 gel stent offers equally effective IOP control for both phakic and pseudophakic patients. However, the onset of bleb revisions and the necessity for secondary glaucoma surgery differed significantly between the groups. Full article
(This article belongs to the Special Issue Recent Advances in Glaucoma Management)
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