How do you decide to use MIGS versus traditional surgical options like trabeculectomy or tube shunt placement in the management of glaucoma?  

Current IOP and your IOP goal are key. Angle MIGS will typically reduce IOP from the low to mid-20s to the mid to upper teens. I consider Xen a MIBS procedure. I’ve been able to use Xen as my bleb surgery of choice, even in patients who have had multiple prior ocular surgeries, including PPV,...

The scope of this question is entirely too broad to give a complete answer without a textbook. In short, if visually symptomatic of NS. Likely hydrus with phaco for mild to moderate with IOPs under 30. Severe or high IOPs, consider Kahook with phaco. Even phaco alone is an outstanding IOP-lowering ...