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Which MIGS do you feel has the most durable IOP lowering effect?

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Mednet Member
Ophthalmology · Massachusetts Eye And Ear Longwood

There is a lack of high-quality comparative efficacy data for the wide variety of MIGS available. The HORIZON randomized clinical trial demonstrates that the Hydrus Microstent can have IOP-lowering effects and medication reduction benefits in some patients at 5 years after surgery. Proponents of can...

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Ophthalmology · Thomas Jefferson University

Of the angle-based trabecular bypass or trabecular outflow-enhancing MIGS procedures, the Hydrus may have the best evidence of sustained IOP reduction based on the 5-year HORIZON trial. But in general, all the various trabecular procedures provide approximately 2 mmHg IOP reduction and reduced drop ...

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