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

There is no single consensus on this question. There are several MIGS options available in the market, and most glaucoma specialists use only a subset of these options. If you ask five ophthalmologists, you might hear six different answers.

I prefer to categorize MIGS into two types: non-filtering a...

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 ...

One patient with severe stage OAG CI on HVF OU C/D > .9 OU

Having performed AlloFlo (scleral tissue) supra-ciliary stent. One patient, two eyes, I have achieved an IOP reduction to 15 OU from mid-twenties on 4 meds OU. Now, only on latanoprost OU.

OD is POM# 3 OS is POM#1

Can AlloFlo achieve a sign...

I agree we have a range of options when considering cataract surgery combined with MIGS. Here is how to analyze the situation you described.

1. What is the extent of glaucomatous damage (mild, moderate, severe)?
2. How many anti-glaucoma medications is the patient on? Combined meds are considered two.
3. Ho...