4 Topic Commentaries

Essential MIGS Skills

• 

  Shakeel Shareef, MD

  Glaucoma

  •

  Flaum Eye Institute, University of Rochester Medical Center

  Safe, successful MIGS demands intraoperative gonioscopy, which itself requires a number of perioperative steps.

  Source
• 

  Richard K. Parrish II, MD

  Glaucoma

  •

  Bascom Palmer Eye Institute, University of Miami Miller School of Medicine

  The need for intraoperative gonioscopy is 1 factor that could affect the adoption of these procedures by cataract surgeons. The average phacoemulsification surgeon rarely performs intraoperative gonioscopy. Certainly, they can learn this skill, but it is likely they would be far more comfortable going from the outside in than from the inside out to increase aqueous humor outflow.

  Source
• 

  Leon W. Herndon Jr., MD

  Glaucoma

  •

  Duke Eye Center, Duke University School of Medicine

  The challenge now is patient selection.

  Source
• 

  Roya Garakani, DO

  Glaucoma

  •

  John A. Moran Eye Center, University of Utah Health

  MIGS isn’t the right choice for everyone. Our goal is always to choose the treatment that offers the best long-term outcome for the individual patient.

  Source