How would you approach choosing a MIGS procedure for a patient with mild glaucoma with progressively worsening PAS undergoing cataract surgery?

In a patient with mild glaucoma and progressive PAS undergoing cataract surgery, I first assess whether the mechanism is primary or secondary angle closure, such as from uveitis. Context is important here. Given that the angle is at least partially compromised, I generally avoid angle-based MIGS at the time of surgery, as these procedures require adequate access to the trabecular meshwork.

I find that cataract extraction alone is often effective in deepening the anterior chamber, opening the ang...