Hydrus™ vs iStent® Trabecular MicroBypass Which performed better
ฝัง
- เผยแพร่เมื่อ 6 ก.ย. 2024
- Compare trial results at 24 months of two different minimally invasive glaucoma surgeries- the Hydrus™ and the iStent® (without cataract surgery being performed at the same time.)
Full Transcript here: new-glaucoma-tr...
DRIVING WITH DR. DAVID RICHARDSON
Holistic Approach to Glaucoma Series #
Episode 1: Cardiovascular Health and Glaucoma
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About Dr. Richardson:
David Richardson, M.D. is widely recognized as one of the top cataract and glaucoma surgeons in the US and is among an elite group of glaucoma surgeons in the country performing the highly specialized canaloplasty procedure. Many patients have traveled from around the world to have canaloplasty by Dr. Richardson. Moreover, Dr. Richardson is one of only a few surgeons in the greater Los Angeles area that performs Micropulse® Cyclophotocoagulation (MP3) glaucoma laser surgery. Dr. Richardson graduated Magna Cum Laude from University of Southern California and earned his Medical Degree from Harvard Medical School. He completed his ophthalmology residency at the LAC+USC Medical Center/ Doheny Institute.
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David D. Richardson, M.D.
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Many thanks for your presentation. Important information for those of us trying to find the best MIGS solution for our patients.
Great comparison of the hydrus to the glaukos istent, thank you
I never had to have glaucoma surgery because my eye drops have been working with lowering my pressure which is a blessing from the Lord because I don't want to get my eyes cut open again. I had to get cataract surgery when I was a baby and I don't want to get any more surgeries on my eyes. And I'm used to eye drops for glaucoma so I really don't need any glaucoma surgery to lower my pressure. Know if I had to get glaucoma surgery because my pressure started to become high and eye drops stop working, then I would just suck it up and get the surgery for glaucoma.
Thank you.
Very interesting--my surgeon wants to do the I-stent for my mild glaucoma. Thank you.
How did I work out
I've had the istent without the cataract removal because my vision is very clear. However as i'm still in my 40s I've continued taking 3 different drops. This has resulted in my pressure reducing by approx 10 percent. I wasnt aware of the hydrus. Daft question but is it possible to have both isent and hydrus inserted at the same time?
Does the iStent do anything to open up the Schlemm's canal like the Hydrus does ? I'll be getting stents when I have cataract surgery in the near future. Great video, thanks !
The iStent does not open up the canal, only provide access to it. This is likely why the iStent is not as effective (at least in this and other trials) compared to the Hydrus. However, the Hydrus is more challenging to implant and not all eye surgeons are comfortable with using it.
What about XEN? I am having that tmw. My pressure is 21 right now. No cataract surgery yet :)
How much does the hydrus cost, and how bad do you have to be in order for it not to be an option??
Any comparison with iStent W vs Hydrus?
What if they put 2 hydrus!
Can the the person stop drops and the pressure goes to normal?