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Micro-Invasive Glaucoma Surgery

The next generation of glaucoma surgery — safer, faster, and less invasive

MIGS

Next Generation

Lower

Surgical Risk

Combined

With Cataract

Faster

Recovery

— About MIGS

The Future of Glaucoma Surgery

Micro-Invasive Glaucoma Surgery (MIGS) represents a revolutionary advance in glaucoma treatment. These procedures use microscopic instruments and tiny incisions to improve aqueous drainage with significantly lower risk.

MIGS procedures are often performed in combination with cataract surgery, making them an attractive option for patients who have both conditions. Dr. Patel is experienced in multiple MIGS platforms.

— MIGS Procedures

OurMIGS Options

iStent inject

The world’s smallest FDA-approved medical device, implanted into the trabecular meshwork to restore natural drainage and reduce intraocular pressure.

Kahook Dual Blade (KDB)

The KDB creates a precise excision of the trabecular meshwork, removing the primary resistance to aqueous outflow and allowing fluid to drain more effectively.

OMNI Surgical System

OMNI combines two MIGS approaches — viscodilation of Schlemm’s canal followed by trabeculotomy — providing comprehensive 360° treatment in a single procedure.

GATT

Gonioscopy-Assisted Transluminal Trabeculotomy uses a suture to perform 360° trabeculotomy, removing the entire trabecular meshwork for unobstructed outflow.

— Common Questions

MIGS FAQs

What makes MIGS different from traditional surgery?

MIGS procedures use much smaller incisions, cause less trauma to the eye, have shorter recovery times, and carry significantly lower risk than traditional surgeries like trabeculectomy. The tradeoff is that they typically provide less dramatic pressure reduction.

Am I a candidate for MIGS?

MIGS is most suitable for patients with mild to moderate open-angle glaucoma, particularly those undergoing cataract surgery simultaneously. Patients with advanced glaucoma requiring very low pressures may need traditional surgery.

Can MIGS be combined with cataract surgery?

Yes — combining MIGS with cataract surgery is one of the most common approaches. This allows patients to address both conditions in a single procedure, reducing recovery time, anaesthetic exposure, and overall surgical risk.

How effective is MIGS at reducing eye pressure?

MIGS typically achieves a 20–40% reduction in intraocular pressure, along with reduction in eye drop requirements. Results vary by procedure and patient factors. Traditional surgery may achieve greater pressure reduction for advanced cases.

— Get Started

Discover MIGS Options

Learn if MIGS is the right glaucoma treatment for you — Launching August 2026