Minimally Invasive Glaucoma Surgery (MIGS)

MIGS procedures have been developed in recent years to treat patients earlier and more safely than conventional glaucoma surgery. MIGS devices work in several ways. Some enhance fluid outflow within the eye’s drainage system and some carry fluid to the outside of the eye. Some MIGS procedures can be done only with cataract surgery, whereas other MIGS procedures can be performed independent of cataract surgery.

A newer option for glaucoma management

iStent inject® W

The iStent inject® W is a minimally invasive FDA-approved implantable device for the treatment of open angle glaucoma. approved to be done in conjunction with cataract surgery. Since it is done at the same time as cataract surgery, no additional incisions are necessary. iStent inject is indicated for the surgical treatment of mild to moderate open angle glaucoma. It is contraindicated in patients with primary or secondary angle closure glaucoma, neovascular glaucoma, traumatic glaucoma, uveitic glaucoma, or patients with anterior chamber angle anomalies.

Kahook Dual Blade (KDB)

The Kahook Dual Blade® is an innovatively designed, single-use, ophthalmic blade used to make parallel incisions in the trabecular meshwork and the wall of the Canal of Schlemm.

Goniotomy with the KDB  allows for more complete removal of trabecular meshwork and is indicated for the treatment of open angle glaucoma, ocular hypertension, pseudoexfoliation and even cases of pigmentary glaucoma.  It is approved as a standalone procedure or in combination with cataract surgery.

OMNI Surgical System

Omni is an implant free MIGS device that targets different points of resistance for aqueous outflow.OMNI device can treat the entire 360 degrees of the trabecular drain and allows the surgeon to carry out a two-part procedure. First, visco-canaloplasty is done that dilates 360 degree of Schlemm’s canal, allowing the drainage channels to function better. Next trabeculectomy, is done that removes a portion of the trabecular meshwork, providing direct access for aqueous fluid to drain into Schlemm’s canal. The amount of treatment can be titrated according to the stage of glaucoma.

You’ve got questions? We’ve got answers..

When is MIGS procedure done? MIGS procedure can be done at the same time you are having cataract surgery and if you have already had cataract surgery, most can be done independently.

Will my insurance cover MIGS? Yes, most insurances cover the procedure.

Will I be able to stop my glaucoma drops after the procedure? The goal is to decrease or completely eliminate the need for glaucoma drops but the treatment has to be tailored to individual needs.

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Phone: 407-243-8715, Phone: 407-261-4411
FAX: 407-326-6960

10962 Moss Park Road, Suite 200
Orlando, FL 32832

Mon-Fri: 8:00am-5:00pm
Saturday: 8:00am-2:00pm (Appointment Only)
Sunday: Closed