Which MIGS procedure do you believe provides the most sustainable IOP reduction when performed alongside cataract surgery?  

I agree we have a range of options when considering cataract surgery combined with MIGS. Here is how to analyze the situation you described. What is the extent of glaucomatous damage (mild, moderate, severe)? How many anti-glaucoma medications is the patient on? Combined meds are considered two....

Assuming prior to surgery, your IOP is low to mid-twenties on 1 to 3 medications, and your IOP goal is mid-teens with a reduction in medication burden. I will perform a canaloplasty 360 degrees without trabeculotomy. I personally do not believe the added trabeculotomy has any additional benefit. If ...