High-intensity focused ultrasound procedure: The rise of a new noninvasive glaucoma procedure and its possible future applications.

Abstract:

:Glaucoma, one of the leading causes of blindness, is usually first managed medically, with incisional surgery as a second step. Noninvasive glaucoma procedures attempt to fill the gap between medical and surgical treatments and may work synergistically with them. High-intensity focused ultrasound induces a selective and controlled thermal ablation of the distal part of the ciliary body, and this effect is independent from the degree of tissue pigmentation with limited damage to adjacent structures. This selective and innovative treatment decreases intraocular pressure by reducing aqueous humor production and by increasing uveoscleral outflow. We review the current literature on the use of high-intensity focused ultrasound in glaucoma, exploring present use, safety, efficacy, and future clinical applications.

journal_name

Surv Ophthalmol

journal_title

Survey of ophthalmology

authors

Posarelli C,Covello G,Bendinelli A,Fogagnolo P,Nardi M,Figus M

doi

10.1016/j.survophthal.2019.05.001

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

826-834

issue

6

eissn

0039-6257

issn

1879-3304

pii

S0039-6257(18)30333-3

journal_volume

64

pub_type

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