MIGS Surgery

Surgical Treatment

Minimally invasive Glaucoma surgery – Minimally Invasive Glaucoma Surgery (MIGS) refers to glaucoma surgeries that are less invasive, safer, and faster healing that traditional glaucoma surgery. Broadly speaking, these procedures aim to lower eye pressure and help control glaucoma by restoring the eye’s natural drains and physiology.

  1. Kahook Dual Blade (KDB) – The KDB is a safe and quick surgery designed to remove the trabecular meshwork, which is the part of the eye that blocks normal fluid outflow in certain glaucoma patients. During the procedure, a small incision is made into the eye and then a specially designed blade is used to painlessly remove parts of the trabecular meshwork in an atraumatic fashion. Postoperatively, patients are started on prescription eye drops to help heal the eye. Recovery is generally fast, painless, and uneventful.
  2. Istent Inject
  3. Goniosynechialysis – Patients with angle closure glaucoma can develop scar tissue inside the eye that may block drainage channels and cause the eye pressure to increase. During goniosynechialysis, a small incision is made and microforceps are used to gently peel away this scar tissue and restore the eye’s normal outflow mechanism. Most patients recover quickly and without complications.
  4. Xen gel stent – The Xen stent is a breakthrough procedure to help control glaucoma in which an implant is surgically placed inside the eye. The implant is a microshunt that drains fluid from inside the eye to the outer subconjunctival space, thus lowering intraocular pressure. The device is about the size of an eyelash and is designed to remain permanently in the eye.