MIGS (micro or minimally invasive glaucoma surgeries) are a group of procedures that reduce IOP and/or medication burden (and associated compliance issues) with a level of safety that exceeds that of older, more aggressive glaucoma procedures.
While traditional glaucoma surgeries can be effective, they permanently impact the anatomic structure of the eye. MIGS is a restorative treatment and unlike traditional glaucoma treatments, which bypass the eye’s natural drainage channels, MIGS restores the natural outflow pathways in order to reduce the elevated intraocular pressure associated with glaucoma. MIGS works within the natural structures of the eye because no artificial pathways are created and no incisions are made within the visual field of the eye, MIGS has a high safety profile and requires minimal post-operative follow-up. Most patients can return to normal day-to-day activities almost immediately following treatment.
These procedures can generally be sperated into two groups:
Procedures performed in conjunction with cataract surgery
ABiC™ is a new minimally-invasive glaucoma surgery (MIGS) procedure, based on the same dilation principles of traditional Canaloplasty but via a simplified and much faster ab-interno approach. It is also the only MIGS procedure that successfully and comprehensively addresses all aspects of potential outflow resistance.
iTrack™ is an advanced surgical treatment for glaucoma. It uses breakthrough microcatheter technology to enlarge your eye’s natural drainage system, similar to angioplasty. iTrack™ works within the natural structures of the eye. No artificial pathways are created, and no incisions are made within the visual field of the eye. There is a reduced level of postoperative complications when compared to traditional surgical techniques.
iTrack™ is clinically proven to significantly reduce intraocular pressure (IOP). As an added benefit, many patients who undergo iTrack™ no longer require anti-glaucoma medications, or can reduce the number of medications required.
Glaucoma stents are small devices that are surgically inserted into the eye, often during cataract surgery, to increase the outflow of intraocular fluid and reduce intraocular eye pressure.
iStent inject® W is one of the smallest medical implants known to be implanted in the human body and can effectively lower IOP, one of the most important risk factors for glaucoma.
Glaukos started a revolution in glaucoma surgery and treatment with the development of the first Micro-Invasive Glaucoma Surgery device. To date, trabecular micro-bypass technologies developed by Glaukos – such as iStent®, iStent inject®, and iStent inject® W – have been implanted in hundreds of thousands of eyes, with more patients benefiting from these procedures every day.
Once implanted in the eye, iStent inject® W can help restore normal pressure in the eye. It’s designed to restore your eye’s natural ability to drain the fluid that causes the increased pressure inside your eye. This may allow your doctor to reduce or eliminate your glaucoma medications.
Roughly the size of an eyelash, the highly flexible Hydrus Microstent is placed by a doctor using microscopic incisions and advanced equipment. This less invasive approach allows for fewer complications and faster healing times than traditional glaucoma surgery.
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