Clinical Debates in Minimally Invasive Glaucoma Surgery (MIGS)

Dear Colleagues,

Glaucoma is one of the primary causes of blindness. Minimally invasive glaucoma surgeries (MIGSs), applied in cases of mild to moderate glaucoma, have gained increasing popularity in recent years because of their efficacy in reducing intraocular pressure, safety profile, simplicity of technique, and reduced risk of vision compromise. While various types of MIGS exist, differing in techniques, indication, outcome, and complications, these variations remain poorly elucidated. Moreover, the existing body of histopathological studies is insufficient for a comprehensive understanding of post-surgical wound healing. Consequently, debates persist among researchers regarding the mechanism by which MIGS reduces intraocular pressure, as well as differing opinions on whether the surgical technique impacts outcomes and the factors influencing surgical success. The history of MIGS is relatively short, lacking adequate systemic reviews or meta-analyses evaluating the influence of individual factors. Therefore, it is important to highlight disparities in researchers’ opinions at the current stage of research.

Dr. Etsuo Chihara
Guest Editor

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• MIGS (minimally invasive glaucoma surgery)
• schlemm’s canal opening surgery
• trabeculotomy
• trabeculectomy
• collector channel
• histology
• intraocular pressure
• surgical success