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Glaucoma Case Files

Surgical Insights and Real Cases From the OR

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Inside a Complex Glaucoma Case: MIGS and Managing the Unexpected

John P. Berdahl, MD; Natalia Morales, MD; and Justin Schweitzer, OD, FAAO

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John Berdahl, MD, invites Justin Schweitzer, OD, FAAO, and Natalia Morales, MD, to discuss the complex case of a 61-year-old patient with a history of cataract surgery, macular edema secondary to branch retinal vein occlusion, vitreous prolapse, a dislocated IOL, and advanced glaucoma on maximal medical therapy. They walk through the approach to this case, including vitrectomy and MIGS with the OMNI Surgical System (Sight Sciences). They also recap how they addressed a complication caused by the patient’s unexpected movement during the procedure.

Posted: 2/12/2026

Keywords:

Anterior vitrectomy

•

OMNI Surgical System

•

Vitrectomy

•

Descemet Detachment Repair

•

OMNI Edge

•

Microinvasive Glaucoma Surgery (MIGS)

•

Complex Case

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Inside a Complex Glaucoma Case: MIGS and Managing the Unexpected

John P. Berdahl, MD; Natalia Morales, MD; and Justin Schweitzer, OD, FAAO

John Berdahl, MD, invites Justin Schweitzer, OD, FAAO, and Natalia Morales, MD, to discuss the complex case of a 61-year-old patient with a history of cataract surgery, macular edema secondary to branch retinal vein occlusion, vitreous prolapse, a dislocated IOL, and advanced glaucoma on maximal medical therapy. They walk through the approach to this case, including vitrectomy and MIGS with the OMNI Surgical System (Sight Sciences). They also recap how they addressed a complication caused by the patient’s unexpected movement during the procedure.

Posted: 2/12/2026

Keywords:

Anterior vitrectomy

•

OMNI Surgical System

•

Vitrectomy

•

Descemet Detachment Repair

•

OMNI Edge

•

Microinvasive Glaucoma Surgery (MIGS)

•

Complex Case

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