Trabecular stents
Devices such as iStent that bypass the clogged meshwork into Schlemm’s canal.
Glaucoma Surgery
Glaucoma Surgery
MIGS
Minimally Invasive Glaucoma Surgery at Neera Eye Centre — lower pressure through tiny incisions, often on the same day as cataract surgery.
MIGS
Micro-incision glaucoma surgery
Stents
Canal and gel-stent options
Day-care
Usually no overnight stay
Combo
Often with cataract surgery
Service Overview
MIGS (Minimally Invasive Glaucoma Surgery) is a family of procedures that improve the eye’s drainage using microscopic stents or a gentle opening of the natural canal — without creating a large trabeculectomy bleb. Pressure drop is usually more modest than a trabeculectomy, but recovery is quicker and the risk of a very low pressure is lower. MIGS is often chosen for mild-to-moderate open-angle glaucoma, especially when a cataract is being removed at the same sitting.
What It Covers
Canal procedures
GATT and similar techniques open the natural drain along a wider stretch.
Gel stents
A tiny XEN-type tube can shunt fluid to the surface through a micro-path.
Combined cataract + MIGS
One sitting can clear the lens and help pressure when both are needed.
Who It Is For
Mild to moderate open-angle glaucoma
When drops are not enough but a full trabeculectomy is more than you need.
Cataract plus glaucoma
Patients already booked for lens surgery who also need a pressure-lowering step.
Drop intolerance
People who cannot use or afford multiple glaucoma medicines long term.
How It Works
Work-up
Field OCT, gonioscopy, and pressure targets decide if MIGS is enough.
Micro-procedure
Through a small corneal incision a stent is placed or the canal is opened.
Review
Drops are tapered as pressure settles; fields and OCT continue as before.
Why Choose MIGS Here
MIGS is planned by the same glaucoma team that also offers trabeculectomy, so you are matched to a micro-procedure when it is enough — and counselled for filtration surgery when it is not. Surgery is at Darya Ganj with structured pressure follow-up.
Frequently Asked Questions
Will MIGS get me off all drops?
Some patients reduce or stop medicines. Many still need one drop. The goal is safer pressure, not a promise of zero bottles.
Is MIGS the same as trabeculectomy?
No. Trabeculectomy creates a new drain and a bleb. MIGS uses the eye’s existing pathway with smaller wounds and a milder pressure drop.
Can MIGS be repeated or followed by trabeculectomy?
If pressure later rises, trabeculectomy or another procedure can still be discussed. Prior MIGS does not close that door.
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