Minimally Invasive Glaucoma Surgery (MIGS)

Minimally Invasive Glaucoma Surgery (MIGS) is a revolutionary surgical technique designed to treat the high pressure of glaucoma by bypassing the blockage occurring in the eye’s natural physiologic outflow tract. Up to 15% of cataract surgery patients have concurrent glaucoma and may be taking daily glaucoma drops. By combining cataract removal with a MIGS microstent, many patients will benefit from improved vision and reduce their dependence on glaucoma medications.

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How Does It Work?

In most cases of MIGS, Dr. Raviv performs cataract surgery while implanting a microstent to enhance fluid drainage from the eye, lowering intraocular pressure and helping to manage glaucoma. This integrated approach streamlines treatment improves patient outcomes and has been shown to minimize the need for future glaucoma procedures or medications.

Benefits of MIGS

Comprehensive treatment:

MIGS, at the time of cataract surgery, addresses coexisting glaucoma simultaneously, offering patients a comprehensive solution that improves visual acuity and reduces intraocular pressure.

Reduced dependency:

By treating both cataracts and glaucoma concurrently, MIGS minimizes the need for multiple surgeries and medications, enhancing patient convenience and quality of life.

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MIGS FAQ

Is MIGS performed during the same surgery as cataract removal?

How long does it take to see the effects of MIGS on my glaucoma condition?

Will I still need to continue using glaucoma medications after undergoing MIGS?

Is ORA intraoperative aberrometry suitable for everyone undergoing cataract surgery?

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Is MIGS performed during the same surgery as cataract removal?

Yes, MIGS is typically performed concurrently with cataract surgery. Since we're already in the eye and 'in the neighborhood' of the eye's natural drainage system, MIGS microstents can be placed right after the intraocular lens (IOL). This integrated approach saves time and minimizes the patient's overall impact, resulting in a smoother and more efficient treatment process.

How long does it take to see the effects of MIGS on my glaucoma condition?

While it may start working immediately, we generally wait to assess the effects of MIGS about 1 to 3 months following surgery. Until then, Dr. Raviv will have you continue your regular glaucoma drops and post-op drops. After completing the post-op drops in one month, decisions about stopping one or more of your glaucoma drops can be made. MIGS is not a cure for glaucoma but rather a treatment to help manage the disease and potentially reduce the number and frequency of glaucoma medications. We will closely monitor your progress during follow-up appointments to assess the procedure's effectiveness and make any necessary adjustments to your treatment plan.

Will I still need to continue using glaucoma medications after undergoing MIGS?

Some patients may be able to reduce or eliminate their use of glaucoma medications, while others may still require some level of medication to control their intraocular pressure.

Is ORA intraoperative aberrometry suitable for everyone undergoing cataract surgery?

ORA intraoperative aberrometry is a valuable tool for enhancing the accuracy and precision of cataract surgery, particularly in cases where preoperative measurements may be unreliable or inconclusive. While the technology can benefit a wide range of patients, its utility may be particularly significant in complex cases such as post-LASIK or other unusual situations where traditional methods of IOL selection may be challenging. During your preoperative evaluation, Dr. Raviv will determine if ORA aberrometry is appropriate for your specific needs and recommend the most suitable treatment plan.

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