Trabs: Still on Top
MIGS has not superseded trabeculectomy, argues Philip Bloom
Philip Bloom | | Opinion
All current glaucoma treatments work via a reduction of intra-ocular pressure, a dose-related protective effect correlated to lowering not only the average pressure, but also its diurnal variation. Surgical and laser treatments may be more effective than medicines, the efficacy of which has to be reinforced daily by regular application related to a short, finite duration of action. Medicines, however, benefit from the possibility of treatment combinations using three distinct potential additive strategies – reduction in inflow and increase in either conventional (trabecular) outflow or non-conventional outflow.
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