In the past, glaucoma surgery was reserved for only the most severe cases in which the eye pressure could not be controlled by eye drops and/or laser glaucoma surgery. However there are now new surgical treatments available that are safer and less aggressive than traditional glaucoma surgery. Because these procedures are performed through very small incisions, they are grouped under the term “microincisional” glaucoma surgery.
The eye pressure is determined by the balance of how quickly the eye produces aqueous fluid that fills the front part of the eye, and how quickly that fluid is reabsorbed into the blood stream. MIGS procedures focus on improving the outflow of that aqueous fluid. Dr. Dale performs two types of MIGS procedures. She can place a small stent in the drainage area of the eye (called the trabecular meshwork) to improve the outflow of fluid. Additionally she can perform a procedure called a goniotomy, where a portion of the meshwork is gently removed. In some patients a combination of these two procedures can be performed.
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