Less is more: MIGS

4 takeaways for ‘trabecular bypass’ MIGS:

  1. Some evidence as an adjunct to cataract sgy (vs subconj filtering sgy which is not synergistic w/ cataract sgy)
  2. Goals are different: modest IOP reduction, reduce med burden, when subconj filtering not ideal
  3. There are options when cost is an issue
  4. Ideal pts: 2nd OAG, young, scarred, milder disease

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