At Advanced Eye Physician, we offer a variety of minimally invasive glaucoma surgery (MIGS). Based on each patient’s unique characteristics and target treatment range of intraocular pressure, the physician will select the appropriate MIGS procedure in discussion with the patient. Surgeries we offer include but not limited to i-stent, Hydrus stent, Kahook Dual Blade Goniotomy, OMNI trabeculoplasty, Xen gel implant, and micropulse cyclophotocoagulation.
- Hydrus Microstent
- Kahook Dual Blade Goniotomy
- OMNI Trabeculoplasty
- Xen Gel Stent
- Micropulse Cyclophotocoagulation
The MIGS group of operations were developed in recent years to reduce some of the complications associated with traditional glaucoma surgeries. They are performed using microscopic-sized equipment and tiny incisions to reduce the chance of serious complications.
MIGS operations consist of 4 different categories:
- Miniaturized versions of trabeculectomy
- Trabecular bypass operations
- Totally internal or suprachoroidal shunts
- Milder, gentler versions of laser photocoagulation
Microtrabeculectomies involve microscopic tubes that are inserted into the eye to drain fluid within the eye to the outer membrane of the eye. 2 new devices involved with this procedure have been shown to be extremely effective in lowering ocular pressure with improved safety over traditional trabeculectomy.
Trabecular surgery is a minimally invasive glaucoma surgery (MIGS) procedure that uses a tiny incision into the trabecular meshwork without damaging any other tissues in the eye’s drainage system.
Using a high-powered microscope, the trabecular meshwork is bypassed with a tiny, snorkel-like device called the iStent. This procedure is most effective in early to moderate stages of glaucoma.
Suprachoroidal shunts involve using tiny tubes with very small internal openings to connect the front of the eye to the suprachoroidal space between the retina and the wall of the eye to drain fluid. This procedure has been shown to be effective in lowering pressure in moderate to severe cases of glaucoma.
Laser cyclophotocoagulation is typically reserved for advanced cases of glaucoma that could not be controlled with trabeculectomy or tube shunts. The procedure reduces the fluid-forming capacity of the eye by targeting the delicate tissue that makes the fluid. 2 new additions to the laser procedure makes it a useful procedure even before glaucoma progresses into the advanced stage, called endocyclophotocoagulation and micropulse cyclophotocoagulation.
Glaucoma shunt surgery involves implanting a flexible tube shunt into the eye. It is designed to divert fluid that drains into the eye to an external reservoir.
This procedure is effective for patients who had little success with previous glaucoma surgeries and glaucoma associated with uveitis or inflammation, neovascular glaucoma associated with diabetes, traumatic glaucoma, and others.
A trabeculectomy is a surgical procedure to lower intraocular pressure inside your eye. It involves creating a new channel, or “bleb,” for fluid to drain from the eye, which helps lower internal eye pressure and reduce the chances of future progressive vision loss.