How do you decide between performing an ECP versus a MIGS procedure in a patient undergoing cataract surgery?

If a patient would benefit from a concurrent IOP-lowering procedure at the time of cataract surgery, there are many options. Some glaucoma specialists will choose ECP in the setting of angle closure, with the thought that ECP will shrink the ciliary processes and allow more opening of the angle. ECP...

Two broad categories of IOP reduction. Outflow procedures vs cyclo-destructive procedures. I always begin with angle outflow procedures. Canaloplasty, stent, and progress in the angle to recently added bio-tissue supraciliary stent (still assessing efficacy). Then progress to MIBS outflow procedures...