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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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