Minimally invasive glaucoma surgery looks set to transform IOP management – but which interventions are currently available, and when, how and on whom should they be used?
At a Glance
- MIGS represents a world of possibility in interventional glaucoma management because of their excellent safety and efficacy profile, as well as patient convenience
- To optimize surgical success, surgeons should assess several factors prior to attempting MIGS by conducting a thorough, pre-operative clinical examination
- While there are many approved and pending options available, a lack of data makes it difficult to come to definitive conclusions
- Glaucoma specialists and general ophthalmologists alike should collaborate to develop a framework that details when MIGS approaches are suitable – and for whom.
MIGS is a growing area of interest for glaucoma specialists and general ophthalmologists alike – and there are four reasons why. The first is the growing population and longevity of glaucoma patients; second, the financial burden, cost-ineffectiveness, and subsequent noncompliance to routinely prescribed/first line standard of care: pressure lowering eye drops; third, the reported toxicity and exposure to preservatives that these daily drops impose on the ocular surface; and fourth, the complications of filtering surgery, such as a trabeculectomy or tube shunts. But which MIGS procedure is right for your patient? To help you decide, here’s a concise overview of approved and emerging surgical interventions to decrease patient dependence on glaucomatous drops.
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