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

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What is your preferred MIGS procedure?

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4 Answers
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Ophthalmology · NYEEI Mt Sinai
Answered on · Updated on

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, tube s...

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Ophthalmology · Massachusetts Eye And Ear Longwood
Answered on

I agree with the other respondents that this question is so broad that it could take an entire textbook, fellowship, or career to give an adequate answer, and the answer will vary over time as more data become available and with each patient scenario. That said, in general, if a patient with mild or...

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Ophthalmology · Center For Advanced Eye Care
Answered on

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 p...

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Ophthalmology · Thomas Jefferson University
Answered on

Traditionally, MIGS were confined to the early to moderate stages of disease. Additionally, the iStent and Hydrus devices were initially approved for mid-moderate POAG in patients undergoing cataract surgery.

However, the MIGS armamentarium continues to expand, and patients who have more advanced di...

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