{"id":17745,"date":"2021-10-03T11:58:13","date_gmt":"2021-10-03T11:58:13","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=17745"},"modified":"2021-10-03T11:58:13","modified_gmt":"2021-10-03T11:58:13","slug":"minimally-invasive-glaucoma-surgery","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/minimally-invasive-glaucoma-surgery\/","title":{"rendered":"Minimally Invasive Glaucoma Surgery"},"content":{"rendered":"<h2><b>Minimally invasive glaucoma surgery, commonly called MIGS, is an advanced approach to glaucoma treatment.<\/b><\/h2>\n<p><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/\">Glaucoma<\/a> is a group of eye diseases that damage the <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-health\/how-does-the-eye-work\/eye-anatomy-the-back-of-the-eye\/\">optic nerve<\/a>, usually as a result of <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-exams\/why-is-eye-pressure-important\/\">high intraocular pressure<\/a>. While there is currently no cure for glaucoma, MIGS can help lower eye pressure to prevent optic nerve damage and loss of vision.<\/p>\n<h2><b>What are MIGS?<\/b><\/h2>\n<p>While a range of <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/how-is-glaucoma-treated\/\">glaucoma treatment<\/a> options exist, for many, a MIGS procedure can be most effective at lowering eye pressure.<\/p>\n<p><b>MIGS are tiny devices that are inserted into the eye to lower eye pressure.<\/b><\/p>\n<p>This procedure is less invasive than standard glaucoma surgery, has a shorter recovery time for patients with mild to moderate glaucoma, and leads to fewer complications than traditional surgical methods.<\/p>\n<p>A MIGS procedure is also a viable choice for those who want to reduce their daily reliance on glaucoma eye drops and medication.<\/p>\n<h2><b>Types of MIGS<\/b><\/h2>\n<p><b>1. Microtrabeculectomy<\/b><\/p>\n<p>A micro trabeculectomy is a procedure that involves placing microscopic tubes into the eye to enable proper drainage of eye fluid.<\/p>\n<p>There are two devices that are most frequently used: the Xen Gel Stent and the PRESERFLO Microshunt (previously known as INNFocus).<\/p>\n<p>These devices are safe and effective in lowering eye pressure, especially when compared to traditional trabeculectomy surgery.<\/p>\n<p><b>2. Trabecular surgery<\/b><\/p>\n<p>The trabecular meshwork is frequently the main source of fluid drainage obstruction.<\/p>\n<p><b>Several procedures have been designed to cut through the trabecular meshwork in order to widen the fluid drainage pathway<\/b>.<\/p>\n<p>Trabecular surgery is performed under high-power microscopy. This procedure involves cutting a microscopic-sized hole in the meshwork and implanting a tiny snorkel-shaped device.<\/p>\n<p>The most commonly used devices are the iStent and Trabectome or Trab360.<\/p>\n<p>These procedures are most effective for early to moderate stages of glaucoma, as they produce only a limited reduction in eye pressure.<\/p>\n<p><b>3. Suprachoroidal shunts<\/b><\/p>\n<p>Suprachoroidal shunts are small tubes that are implanted into the suprachoroidal space, between the retina and outerwall of the eye, to promote fluid drainage from the eye.\u00a0 As the fluid drains, the eye pressure is reduced.<\/p>\n<p>This method is effective for moderate to severe cases of glaucoma and has a low rate of serious complications.<\/p>\n<p><b>SEE RELATED: <\/b><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/glaucoma\/\">What is Glaucoma?<\/a><\/p>\n<p><b>If you have glaucoma, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">schedule an appointment with an eye doctor near you<\/a> to determine if MIGS is right for you.<\/b><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Preparing for MIGS<\/b><\/h2>\n<p>To determine if MIGS can treat your glaucoma, your eye doctor will perform several diagnostic tests. If you are a candidate for MIGS, your doctor will use these tests to decide which device or technique is most appropriate for you.<\/p>\n<p>Prior to your MIGS procedure, your eye doctor will provide detailed pre-procedure guidelines, which may include adding or discontinuing certain eye drops from your daily regimen.<\/p>\n<p>Be sure to arrange for someone to drive you to and from your surgery.<\/p>\n<h2><b>The MIGS procedure<\/b><\/h2>\n<p>MIGS is an outpatient procedure. In most cases, a local anesthetic or numbing eye drop will be given, along with IV sedation supplied by an anesthesiologist.<\/p>\n<p>Many MIGS procedures are designed to be performed in conjunction with cataract surgery. This means that the same incision used to remove your cataract will also be used to implant your microdevice.<\/p>\n<h2><b>Recovery after MIGS<\/b><\/h2>\n<p>How quickly you recover will depend on the type of procedure you\u2019ve had and your medical history.<\/p>\n<p><b>One of the advantages of a MIGS procedure is that the recovery time is significantly less when compared to standard surgery \u2014 but still expect a recovery time of up to several days or weeks.\u00a0<\/b><\/p>\n<p>Your eye doctor will schedule a follow-up appointment for you and provide you with post-procedure instructions that may include lifestyle modifications, such as precautions when it comes to driving and returning to work.<\/p>\n<p>After about 6-8 weeks most MIGS patients can expect to see an improvement in intraocular pressure.<\/p>\n<h2><b>Who is a candidate for MIGS?<\/b><\/h2>\n<p>To determine if you are a candidate for MIGS, your eye doctor will evaluate both your medical history and current glaucoma management plan.<\/p>\n<p><b>An ideal candidate for MIGS will typically have early to moderate<a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/glaucoma-faqs\/what-is-open-angle-glaucoma\/\"> open-angle glaucoma<\/a> and be interested in undergoing <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-cataracts\/cataract-surgery-what-to-expect\/\">cataract surgery<\/a><\/b>.<\/p>\n<p>However, MIGS options are still available for patients who do not need cataract surgery.<\/p>\n<p><b>LEARN MORE: <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/\">Guide to Eye Conditions<\/a>\u00a0<\/b><\/p>\n<p><b>If you have glaucoma, <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">schedule an appointment with an eye doctor near you<\/a> to determine if MIGS is right for you.<\/b><\/p>\n<p><i>MIGS are tiny devices that are inserted into the eye to lower eye pressure.<\/i><\/p>\n<p><i>A MIGS procedure can be more effective than other glaucoma treatments and less invasive than standard glaucoma surgery.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Minimally invasive glaucoma surgery, commonly called MIGS, is an advanced approach to glaucoma treatment. Glaucoma is a group of eye diseases that damage the optic<\/p>\n","protected":false},"author":1206,"featured_media":17746,"parent":12339,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-17745","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Minimally Invasive Glaucoma Surgery - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/glaucoma-guide\/minimally-invasive-glaucoma-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Minimally Invasive Glaucoma Surgery - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"Minimally invasive glaucoma surgery, commonly called MIGS, is an advanced approach to glaucoma treatment. 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