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

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...

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 ...

Consider the results of this poll itself to be a bit flawed. People are going to answer based on the options they themselves are familiar with. If they are not using some of these options, they will elect for ones they believe, in their hands, have the most durable lowering effect.