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Glaucoma Case Files

Surgical Insights and Real Cases From the OR

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Angle-Based MIGS for a Patient With Severe Glaucoma

John P. Berdahl, MD; Tanner J. Ferguson, MD; and Mitch Ibach, OD, FAAO

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John Berdahl, MD; Tanner Ferguson, MD; and Mitch Ibach, OD, FAAO, discuss a case of a male patient with memory issues, progressive visual field loss, and elevated IOP. He has a history of cataract surgery and MIGS but was lost to follow up and is not on any antiglaucoma medication. The hosts weigh the available treatment options and outline the decision to proceed with angle-based MIGS with the Omni Surgical System (Sight Sciences) and endocyclophotocoagulation. They discuss the provider’s role in facilitating follow-up care and how medication compliance and insurance coverage challenges affect treatment decision-making.

Posted: 8/11/2026

Keywords:

Endoscopic Cyclophotocoagulation, endocyclophotocoagulation, ECP

•

OMNI Surgical System

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Angle-Based MIGS for a Patient With Severe Glaucoma

John P. Berdahl, MD; Tanner J. Ferguson, MD; and Mitch Ibach, OD, FAAO

John Berdahl, MD; Tanner Ferguson, MD; and Mitch Ibach, OD, FAAO, discuss a case of a male patient with memory issues, progressive visual field loss, and elevated IOP. He has a history of cataract surgery and MIGS but was lost to follow up and is not on any antiglaucoma medication. The hosts weigh the available treatment options and outline the decision to proceed with angle-based MIGS with the Omni Surgical System (Sight Sciences) and endocyclophotocoagulation. They discuss the provider’s role in facilitating follow-up care and how medication compliance and insurance coverage challenges affect treatment decision-making.

Posted: 8/11/2026

Keywords:

Endoscopic Cyclophotocoagulation, endocyclophotocoagulation, ECP

•

OMNI Surgical System

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