Are you in need of glaucoma surgery, but are not interested in extremely invasive surgery? If so, MIGS may be a good match for you. This grouping of minimally invasive glaucoma procedures are just as effective as traditional surgeries, but are less invasive and also reduce some complications. To learn more regarding these procedures, contact our office today! One of our skilled eye care physicians will be happy to speak with you during your consultation appointment.

What is MIGS/Goniotomy?

Minimally invasive glaucoma surgery (MIGS) encompasses a group of operations to lower eye pressure in glaucoma patients. These operations have been developed to reduce some of the complications that some standard glaucoma surgeries induce. In many cases, MIGS procedure techniques are used by performing goniotomy, which is a surgical procedure for children only to reduce pressure in the eye. A device called the Kahook Trephine has improved the safety and effectiveness of the goniotomy procedure. This is often completed at the conclusion of the cataract surgery.

The MIGS/Goniotomy Procedure

The MIGS procedures work by using microscopic-sized equipment and small incisions, and are divided up into the following categories:

·        Miniaturized versions of trabeculectomy: These procedures use small, microscopic-sized tubes that can be inserted into the eye to drain fluid, lowering the pressure in the eye.

·        Internal or suprachoroidal shunts: With these procedures, tiny tubes with very small internal openings are used to connect the front of the eye to the space between the retina and the wall of the eye, helping to drain fluid from the eye.

·        Trabecular bypass operations: A number of operations that use tiny equipment and devices are used to cut through the trabecular meshwork without damaging other tissues to allow fluid drainage in the eye.

·        Gentler versions of laser photocoagulation: In the past, laser treatments were used only for advanced glaucoma. However, there are now laser procedures that can be used to treat glaucoma before it is far advanced.

Candidates for MIGS/Goniotomy

Because MIGS procedures are minimally invasive, recovery time is usually short. Most patients respond well to surgery and can experience an improvement in their vision right away. Minor discomfort and eye soreness may temporarily occur. Your eye doctor will provide you with special instructions following surgery in order to prevent infection and other complications. Children often still need medications following goniotomy to control pressure in the eyes.

Contact Us to Learn More

To schedule your MIGS or goniotomy consultation appointment at Eye Care Physicians of New Jersey, contact our office today! We will be happy to answer any questions that you may have.

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