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Subspecialties Glaucoma

Easing the Pressure

The advances in surgical glaucoma technology have got doctors thinking about the possibility of premium lens implantation in a glaucoma patient – but the question is: why and when? 

As in many areas of ophthalmology, there has also been an increased emphasis on improving quality of life and patient satisfaction in the glaucoma patient. With the introduction of microinvasive glaucoma surgery (MIGS) technology, we are now better able to reach that goal. Personally, I’m a big advocate of early intervention. If one of my patients has mild or moderate glaucoma, is on topical meds or has IOPs not at target, I will offer some type of MIGS procedure. The new glaucoma surgeries have allowed us to reduce the drop burden for our glaucoma patients, improve compliance, and, due to the high safety profiles, intervene earlier in the disease process. Another key characteristic of these MIGS procedures is the improved predictability of post-operative refractive outcomes compared with traditional glaucoma surgeries (such as trabeculectomy and tube surgeries). To me, it is no longer acceptable to “just bring the IOP down,” but rather, we should strive to attain target IOP, while maintaining or even improving quality of life. Therefore, why shouldn’t our glaucoma patients deserve premium options during cataract surgery?

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