Search

Series:

Glaucoma Case Files

Surgical Insights and Real Cases From the OR

Editorially Independent Content, Supported with Advertising from Allergan XEN, Glaukos iDose & Nova Eye.

Combination MIGS Procedures

Rachel G. Simpson, MD; Roya Garakani, DO; and Craig J. Chaya, MD

Show Description +

Rachel G. Simpson, MD, and Roya Garakani, DO, welcome back Craig J. Chaya, MD, to share thoughts on patient selection for combination MIGS procedures. He explains how viscodilation to expand Schlemm canal has improved the learning curve for securing a good position during Hydrus Microstent (Alcon) implantation. Drs. Simpson and Garakani share a surgical video demonstrating the use of iTrack canaloplasty (Nova Eye Medical) and Hydrus placement. They review the results of combination procedures versus standalone and comment on how glaucoma surgeons can advocate for patients’ best interests in the face of new Medicare reimbursement restrictions.

Posted: 7/08/2025

Keywords:

Microinvasive Glaucoma Surgery (MIGS)

•

Hydrus Microstent (Alcon)

•

iTrack Microcatheter

Up Next

Explantation and Reimplantation of a Tube Shunt

Explantation and Reimplantation of a Tube Shunt

Rachel G. Simpson, MD; and Roya Garakani, DO

Revision of an Ischemic Focal Bleb

Revision of an Ischemic Focal Bleb

Rachel G. Simpson, MD; and Roya Garakani, DO

Surgical Insights and Patient Selection for AlloFlo

Surgical Insights and Patient Selection for AlloFlo

Rachel G. Simpson, MD; Roya Garakani, DO; and Craig J. Chaya, MD

Optimizing Existing Tube Shunt in Uveitic Glaucoma

Optimizing Existing Tube Shunt in Uveitic Glaucoma

Rachel G. Simpson, MD; and Roya Garakani, DO

Patient Selection and Pearls for Trabeculectomy

Patient Selection and Pearls for Trabeculectomy

Joseph F. Panarelli, MD; Manjool Shah, MD; and Arsham Sheybani, MD

An Unexpected Encounter With Angle Recession

An Unexpected Encounter With Angle Recession

Manjool Shah, MD; Arsham Sheybani, MD; and Jonathan S. Williams, MD

Xen Gel Stent Revision and Ahmed Valve Implantation

Xen Gel Stent Revision and Ahmed Valve Implantation

Joseph F. Panarelli, MD; Manjool Shah, MD; and Arsham Sheybani, MD

GATT for Juvenile Open-Angle Glaucoma

GATT for Juvenile Open-Angle Glaucoma

Joseph F. Panarelli, MD; Manjool Shah, MD; and Arsham Sheybani, MD

Phacoemulsification and iTrack Advance Canaloplasty

Phacoemulsification and iTrack Advance Canaloplasty

Manjool Shah, MD; Arsham Sheybani, MD; and Jonathan S. Williams, MD

Surgical Approaches for Ahmed Glaucoma Valve Implantation

Surgical Approaches for Ahmed Glaucoma Valve Implantation

Manjool Shah, MD; Arsham Sheybani, MD; and Jonathan S. Williams, MD

Trabeculectomy Revision With Phacoemulsification

Trabeculectomy Revision With Phacoemulsification

Joseph F. Panarelli, MD; Manjool Shah, MD; and Arsham Sheybani, MD

Xen Gel Stent Implantation Pearls

Xen Gel Stent Implantation Pearls

Joseph F. Panarelli, MD; Manjool Shah, MD; and Arsham Sheybani, MD

Phacoemulsification and Hydrus Implantation

Phacoemulsification and Hydrus Implantation

Joseph F. Panarelli, MD; Manjool Shah, MD; and Arsham Sheybani, MD

iStent Placement Techniques

iStent Placement Techniques

Joseph F. Panarelli, MD; Manjool Shah, MD; and Arsham Sheybani, MD

Talking Tubes

Joseph F. Panarelli, MD; Manjool Shah, MD; and Arsham Sheybani, MD

Ahmed Glaucoma Valve to Mitigate Post-Injection IOP Elevation

Ahmed Glaucoma Valve to Mitigate Post-Injection IOP Elevation

Joseph F. Panarelli, MD; Manjool Shah, MD; and Arsham Sheybani, MD

Premiere Episode: IOP Spike After Routine Cataract Surgery

Premiere Episode: IOP Spike After Routine Cataract Surgery

Joe Panarelli, MD; Manjool Shah, MD; and Arsham Sheybani, MD

Endoscopic Cyclophotocoagulation in a Challenging Case of Neovascular Glaucoma

Endoscopic Cyclophotocoagulation in a Challenging Case of Neovascular Glaucoma

Rachel G. Simpson, MD; and Roya Garakani, DO

Cataract Surgery With a Pre-Existing Filtering Bleb

Cataract Surgery With a Pre-Existing Filtering Bleb

Rachel G. Simpson, MD; and Roya Garakani, DO

Back to All Videos

Combination MIGS Procedures

Rachel G. Simpson, MD; Roya Garakani, DO; and Craig J. Chaya, MD

Rachel G. Simpson, MD, and Roya Garakani, DO, welcome back Craig J. Chaya, MD, to share thoughts on patient selection for combination MIGS procedures. He explains how viscodilation to expand Schlemm canal has improved the learning curve for securing a good position during Hydrus Microstent (Alcon) implantation. Drs. Simpson and Garakani share a surgical video demonstrating the use of iTrack canaloplasty (Nova Eye Medical) and Hydrus placement. They review the results of combination procedures versus standalone and comment on how glaucoma surgeons can advocate for patients’ best interests in the face of new Medicare reimbursement restrictions.

Posted: 7/08/2025

Keywords:

Microinvasive Glaucoma Surgery (MIGS)

•

Hydrus Microstent (Alcon)

•

iTrack Microcatheter

Please log in to leave a comment.