When have you found benefit combining different MIGS procedures?

The data regarding combining different MIGS procedures are primarily retrospective, non-comparative, subject to selection bias and other biases, and performed in widely varying patient populations that make direct comparison difficult. From a mechanistic standpoint, combining MIGS makes sense, such ...

I do not generally combine trabecular bypass angle-based procedures such as iStent or Hydrus and goniotomy or canaloplasty. I have found standalone goniotomy and viscodilation/canaloplasty procedures performed with the Omni or VIA360 devices to be particularly beneficial in younger JOAG/POAG patient...