Selecting the Rights MIGS Procedure for Individual Patients

Now Viewing

EP: 1.Selecting the Rights MIGS Procedure for Individual Patients

EP: 2.Case 1: A Case of Open-Angle Glaucoma Treated With Canaloplasty and Trabeculotomy

EP: 3.Advances in Nonimplant MIGS

EP: 4.Case 2: A Case of CEIOL Plus Ab Interno Canaloplasty

EP: 5.Long-Term Outcomes After Nonimplant MIGS Procedure

Selecting the Right MIGS Procedure for Individual Patients
This article provides a practical framework for selecting the most appropriate microinvasive glaucoma surgery (MIGS) procedure based on individual patient characteristics and disease profiles. It outlines key factors influencing procedure choice, including glaucoma severity, angle anatomy, prior ocular surgeries, target intraocular pressure (IOP), and patient tolerance for postoperative medication use. The discussion compares various MIGS techniques—such as trabecular bypass, suprachoroidal shunts, and subconjunctival filtration—highlighting their mechanisms of action, efficacy, and safety profiles. By aligning surgical strategy with clinical presentation, ophthalmologists can optimize outcomes, minimize risk, and tailor glaucoma management to meet each patient’s unique therapeutic needs.