Meta-Analysis of MINIject vs. Two iStents as Standalone Treatment for Glaucoma with 24 Months of Follow-Up
2024

Comparing MINIject and iStents for Glaucoma Treatment

Sample size: 280 publication 10 minutes Evidence: moderate

Author Information

Author(s): Tan Jeremy C. K., Agar Ashish, Rao Harsha L., Awad Katherin, Mansouri Kaweh

Primary Institution: Faculty of Medicine and Health, University of New South Wales

Hypothesis

Does the MINIject provide better long-term intraocular pressure reduction compared to two iStents?

Conclusion

Standalone MINIject may provide a greater and more consistent reduction in intraocular pressure compared to two iStents.

Supporting Evidence

  • MINIject showed a greater reduction in intraocular pressure compared to iStent.
  • The mean percentage IOP reduction at 24 months was more consistent with MINIject.
  • MINIject reduced the mean number of medications used more than iStent, although not statistically significant.

Takeaway

This study looked at two different devices used to treat eye pressure in people with glaucoma. It found that one device, MINIject, worked better than the other, iStents, in lowering eye pressure over two years.

Methodology

Systematic review and meta-analysis of studies comparing MINIject and iStent with at least 24 months of follow-up.

Potential Biases

Some studies had a moderate risk of bias due to missing data and deviations from intended interventions.

Limitations

The studies included had small sample sizes and varied diagnostic criteria, which may affect the generalizability of the results.

Participant Demographics

The MINIject studies included a mix of populations, with two studies in non-White populations and one primarily Caucasian.

Statistical Information

P-Value

0.03

Confidence Interval

−10.73, −8.41

Statistical Significance

p = 0.03

Digital Object Identifier (DOI)

10.3390/jcm13247703

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