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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

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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

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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

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