Evidence map›Paper›PMID 33073174›Full record

ArticleBMC biomedical engineering2020

A novel suprachoroidal microinvasive glaucoma implant: in vivo biocompatibility and biointegration.

Ian Grierson, Don Minckler, Marian K Rippy, Andrew J Marshall, Nathalie Collignon, Jessica Bianco, Benoit Detry, Murray A Johnstone

Open access · goldAbstract read
In one paragraph

Article in BMC biomedical engineering, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Article
  3. Anterior-Segment Optical Coherence Tomography Imaging of Patients Undergoing Supraciliary Glaucoma Drainage Device Implantation.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  4. Preliminary Short-Term Results of Supraciliary Ab-Interno MINIjectClinical ophthalmology (Auckland, N.Z.) · 2025
    Article
  5. Article
  6. Cancer Treatment Using Nanofibers: A Review.Nanomaterials (Basel, Switzerland) · 2024
    Review
  7. Article
  8. Review
  9. Article
  10. New Devices in Glaucoma.Ophthalmology and therapy · 2023
    Review
  11. Article
  12. Review
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 4 countries.

Ian GriersonDepartment of Eye and Vision Science, Institute of Ageing and Chronic Disease, University of Liverpool, Liverpool, UK.
Don MincklerUniversity of California, Irvine School of Medicine, Irvine, CA USA.
Marian K RippyRippy Pathology Solutions, Inc., Woodbury, MN USA.
Andrew J MarshallHealionics Corporation, Seattle, Washington USA.
Nathalie CollignonDepartment of Ophthalmology, Centre Hospitalier Universitaire of Liège, Liège, Belgium.
Jessica BiancoNAMSA Clinical and Consulting, Chasse sur Rhone, France.
Benoit DetryiSTAR Medical SA, Avenue Sabin 6, 1300 Wavre, Belgium.ORCID 0000-0002-0653-4375
Murray A JohnstoneDepartment of Ophthalmology, University of Washington, Seattle, Washington USA.
Centre Hospitalier Universitaire de Liège · BEComprehensive OBGYN · USHealionics (United States) · USNAMSA (France) · FRSabin Vaccine Institute · USUniversity of California, Irvine · USUniversity of Liverpool · GBUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA major challenge for any glaucoma implant is their ability to provide long-term intraocular pressure lowering efficacy. The formation of a low-permeability fibrous capsule around the device often leads to obstructed drainage channels, which may impair the drainage function of devices. These foreign body-related limitations point to the need to develop biologically inert biomaterials to improve performance in reaching long-term intraocular pressure reduction. The aim of this study was to evaluate in vivo (in rabbits) the ocular biocompatibility and tissue integration of a novel suprachoroidal microinvasive glaucoma implant, MINIject™ (iSTAR Medical, Wavre, Belgium).

resultsIn two rabbit studies, no biocompatibility issue was induced by the suprachoroidal, ab-externo implantation of the MINIject™ device. Clinical evaluation throughout the 6 post-operative months between the sham and test groups were similar, suggesting most reactions were related to the ab-externo surgical technique used for rabbits, rather than the implant material itself. Histological analysis of ocular tissues at post-operative months 1, 3 and 6 revealed that the implant was well-tolerated and induced only minimal fibroplasia and thus minimal encapsulation around the implant. The microporous structure of the device became rapidly colonized by cells, mostly by macrophages through cell migration, which do not, by their nature, impede the flow of aqueous humor through the device. Time-course analysis showed that once established, pore colonization was stable over time. No fibrosis nor dense connective tissue development were observed within any implant at any time point. The presence of pore colonization may be the process by which encapsulation around the implant is minimized, thus preserving the permeability of the surrounding tissues. No degradation nor structural changes of the implant occurred during the course of both studies.

conclusionsThe novel MINIject™ microinvasive glaucoma implant was well-tolerated in ocular tissues of rabbits, with observance of biointegration, and no biocompatibility issues. Minimal fibrous encapsulation and stable cellular pore colonization provided evidence of preserved drainage properties over time, suggesting that the implant may produce a long-term ability to enhance aqueous outflow.

Indexed as

Aqueous drainageBiocompatibilityBiointegrationEyeGlaucomaMicroinvasive Glaucoma Surgery (MIGS)MINIjectOcularOphthalmologySuprachoroidal space

Identifiers

PMID33073174
PMCPMC7556975
OpenAlexW3092972821

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.