Minimally Invasive Glaucoma Surgery (MIGS)
Modern Options to Lower Your Intraocular Pressure
Glaucoma is a group of eye conditions characterized by damage to the optic nerve, often linked to elevated eye pressure. If left untreated, glaucoma can lead to irreversible vision loss. Managing eye pressure effectively is crucial to preserving sight.
Minimally invasive glaucoma surgery (MIGS) offers newer surgical options that can lower eye pressure with less risk and faster recovery than traditional glaucoma surgeries. These procedures are designed to improve fluid drainage inside the eye through tiny implants or microscopic tissue removal.
What Is MIGS?
MIGS includes a variety of techniques and devices intended to reduce intraocular pressure with minimal disruption to eye tissue. Unlike more invasive surgeries, MIGS procedures often involve smaller incisions and can be combined with cataract surgery or performed alone.
Common MIGS options may include:
iStent: A tiny stent implanted to improve fluid outflow
Hydrus Microstent: A scaffold device that helps keep drainage channels open
Trabectome or Kahook Dual Blade: Procedures that remove or bypass parts of the eye’s drainage system
The choice of procedure depends on individual factors such as glaucoma severity, eye anatomy, and overall health.
Who Is a Candidate for MIGS?
MIGS is typically considered for patients with mild to moderate open angle glaucoma who need additional pressure reduction beyond eye drops. It may also be appropriate for patients undergoing cataract surgery who have glaucoma.
A thorough evaluation and discussion will determine whether MIGS is suitable, based on your specific condition and goals.
What to Expect
MIGS is usually performed in an outpatient surgical center or hospital setting, often during cataract surgery. The procedure is minimally disruptive, allowing for faster healing and fewer complications compared to traditional glaucoma surgeries.
After surgery, regular follow-ups are essential to monitor eye pressure and adjust treatment as needed. While MIGS can reduce reliance on eye drops, some patients may still require medication.
Why Choose Dr. Pham
Experienced surgeon trained in a range of MIGS procedures
Personalized treatment plans tailored to your glaucoma severity and lifestyle
Advanced diagnostic testing to accurately assess and monitor your eye health
Focus on safety, comfort, and preserving vision over the long term
What’s Next
If glaucoma is affecting your vision or current treatments are not controlling eye pressure effectively, exploring surgical options like MIGS may be beneficial. A consultation can provide a comprehensive assessment and help determine the best approach to manage your glaucoma.