Review Article

iStent® Trabecular Microbypass Stent: An Update

Table 2

Summary of iStent case series.

Authors (year)ProcedureDeviceMean IOP reduction (%)Medication reduction (%)Follow-up
(months)

Spiegel et al. [7]1 (2007)61 iStentiStent23.918.512
Buchacra et al. [20]1 (2011) 101 iStentiStent27.362.012
Ahmed et al. [21]1 (2014)392 iStents + travoprostiStent46.95018
Voskanyan et al. [31]1 (2014)992 iStentsiStent inject39.7N/A12
Arriola-Villalobos et al. [30]1 (2013)20Phaco.  +  1 iStent or 2 iStentsiStent inject35.776.912
Spiegel et al. [13]1 (2008)47Phaco. + 1 iStentiStent25.466.76
Spiegel et al. [12]1 (2009)47Phaco. + 1 iStentiStent21.475.012
Arriola-Villalobos et al. [16]1 (2012)19Phaco. + 1 iStentiStent16.363.660
Patel et al. [14]1 (2013)44Phaco. + 1 iStentiStent20.974.36
Belovay et al. [22]1 (2012)53Phaco. + iStents (2 or 3)iStent20.2–20.464.3–84.612
Klamann et al. [32]2 (2015)351 iStent in phakic OAGiStent inject33–35N/A36
El Wardani et al. [34]2 (2015)131Phaco. alone and 1 iStent or 2 iStentsiStentN/A42756

IOP, intraocular pressure; , number of eyes enrolled; Phaco., phacoemulsification; OAG, open-angle glaucoma.
The numerical value listed under “medication reduction” represents the decrease in mean number of IOP lowering medications used postoperatively.
1Prospective studies.
2Retrospective studies.
3No statically significant difference was found at the end of follow-up.
4Percentage of reduction was not available in abstract (epub ahead of printing).
5Number of medications was reduced by 8% in the phacoemulsification alone group, 27% when using one iStent, and 45% when using 2 iStents.