Comparing MIGS and Traditional Glaucoma Surgery: Which Is Right for You?

Cataract surgery procedure in modern clinic setting with advanced tools, also used for treating glaucoma

Struggling to keep your eye pressure under control? You’re not alone. Glaucoma is a leading cause of vision loss worldwide; sometimes, drops aren’t enough. Fortunately, glaucoma surgery options can help preserve your vision when other treatments fall short. So, how do you know if MIGS or traditional surgery is the right path for you?

Our expert ophthalmologists at Millennium Park Eye Center in Chicago, IL, are leaders in advanced eye procedures, like minimally invasive and traditional glaucoma surgery. Our team includes internationally recognized eye surgeons and researchers from prestigious universities nationwide. They bring decades of experience and cutting-edge techniques to every procedure.

Pros and Cons of MIGS vs. Traditional Glaucoma Surgery

Not all glaucoma surgeries are created equal. Each method has different goals, techniques, and recovery timelines. Here’s how they stack up:

MIGS (Minimally Invasive Glaucoma Surgery):

  • Smaller incisions: These procedures are performed through tiny openings in the eye.
  • Faster recovery: Most patients return to normal activities within a few days.
  • Lower risk profile: MIGS has fewer complications than traditional surgery.
  • Best for early to moderate cases: Ideal for patients whose glaucoma is not yet advanced.

Traditional Glaucoma Surgery (Trabeculectomy or Drainage Implants):

  • Stronger pressure reduction: Best suited for severe or fast-progressing glaucoma.
  • Longer recovery: Healing may take several weeks.
  • More involved procedure: It creates new drainage pathways or adds a drainage device.

Both approaches work to reduce intraocular pressure, but the choice depends on your glaucoma stage, health, and previous treatments.

When Is MIGS a Good Option for Glaucoma Patients?

MIGS has changed the way we treat glaucoma. It’s less invasive but still powerful for certain cases. You may be a good candidate if:

  • You have mild to moderate open-angle glaucoma.
  • You’re already having cataract surgery.
  • You haven’t had previous glaucoma surgery.
  • You want a quicker recovery and fewer side effects.

These procedures enhance fluid drainage within the eye and can help prevent further vision loss when used in the early stages of glaucoma.

Is Traditional Glaucoma Surgery Better for Advanced Cases?

If your glaucoma is advanced or progressing despite medications, traditional surgery may be a better fit. These surgeries:

  • Create alternate drainage pathways to rapidly lower pressure.
  • Works well for patients who haven’t responded to MIGS or lasers.
  • They are recommended for severe optic nerve damage.

Traditional glaucoma surgery is often reserved for cases where aggressive intervention is needed. But when done by one of our experienced surgeons, the results are often life-changing.

Let Chicago’s Experts Help You Decide

Ready to protect your vision? Call 312-996-2020 to discuss your glaucoma surgery options in Chicago with our expert team.

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