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Excimer Laser Trabeculostomy

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Cathleen M. McCabe, MD

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Cathleen McCabe, MD, joins this episode to discuss Elios excimer laser trabeculostomy with Arsham Sheybani, MD, and Iqbal Ike K. Ahmed, MD, FRCSC. Dr. McCabe reviews the mechanism of action of the laser and how it enables precise glaucoma treatment to enhance the natural outflow pathway. They discuss 8-year followup data and how this technology differs from other MIGS approaches.

Posted: 8/05/2025

Keywords:

Excimer Laser Trabeculostomy (ELT)

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Name: Excimer Laser Trabeculostomy
Uploaded: 2025-08-05T17:38:06+00:00
Description: Cathleen McCabe, MD, joins this episode to discuss Elios excimer laser trabeculostomy with Arsham Sheybani, MD, and Iqbal Ike K. Ahmed, MD, FRCSC. Dr. McCabe reviews the mechanism of action of the laser and how it enables precise glaucoma treatment to enhance the natural outflow pathway. They discuss 8-year followup data and how this technology differs from other MIGS approaches.

MIGS Unplugged LIVE: Rethinking Early Intervention in Glaucoma Care

Arsham Sheybani, MD; Iqbal Ike K. Ahmed, MD, FRCSC; Brian M. Shafer, MD; and Christine M. Funke, MD

Glaucoma Intervention in the Supraciliary Space

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Kristin O. Bretz, MD

The Role of Viscodilation in Glaucoma Surgery

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Leonard K. Seibold, MD

Ab Externo Xen Gel Stent Implantation

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Oluwatosin U. Smith, MD

Interventional Valve-Enhancing Trabeculotomy

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Davinder S. Grover, MD, MPH

Insights and Pearls for Preserflo

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Keith Barton, MD, FRCP, FRCS

Supraciliary MIGS With MINIject

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Kaweh Mansouri, MD, MPH

Implantation Pearls and Data Discussion for Hydrus Microstent

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Nishani Amerasinghe, MB, BS, BSc, FRCOphth

Viscodilation in the Canal

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Karl Mercieca, MRCOphth, FRCOphth, PGCM(Ed), FEBOS-GL

Streamlining Glaucoma Procedures

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Ariana Levin, MD

IOL Selection in Combination MIGS Procedures

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Deborah Ristvedt, DO

MIGS in Private Practice

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Emily Schehlein, MD

Reflections on the Reimbursement Landscape

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Nathan M. Radcliffe, MD

Micropulse Laser Therapy

Ike Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Larissa Camejo, MD

Experience With the TrabEx Pro

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Lorraine M. Provencher, MD

Suprachoroidal MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Antonio Fea, MD, PhD

The Role of MIGS in Pediatric Glaucoma

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Zeynep Aktas, MD, FEBO

Genetics in Glaucoma

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Janey L. Wiggs, MD, PhD

SLT as First-Line Therapy

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Gus Gazzard, MA(Cantab), MD, MBBChir, FRCOphth

Management of Angle-Closure Glaucoma

Ike Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Clement CY Tham, BM BCh (Oxon), FCOphthHK, FHKAM (Ophth), FRCOphth, FRCS (Glas), FCSHK

MIGS in the Suprachoroidal Space

Ike Ahmed, MD, FRCSC; and Arsham Sheybani, MD

Goniotomy: Surgical Pearls and Considerations

Ike Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Matthew Brink, MD

Success With Intracameral Drug Delivery

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and I. Paul Singh, MD

Comparative Study of Endothelial Cell Loss

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Ticiana De Francesco, MD

Training in MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Paul Chamberlain, MD; and Shawn Gulati, MD, MPH

MIGS Research and Outcomes

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Ticiana De Francesco, MD

MIGS in the Developing World

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Craig J. Chaya, MD

Viscodilation in the Canal

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Rachel G. Simpson, MD

Real-World MIGS Safety

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Sarah Van Tassel, MD

Part Two: Important Considerations From GPS Trial Data

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Sahar Bedrood, MD, PhD

Outcomes and Highlights of the GPS Trial

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Sahar Bedrood, MD, PhD

Canaloplasty and Viscodilation in MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; and Arsham Sheybani, MD

The Panama Canaloplasty

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Joseph F. Panarelli, MD

The Role of MIGS in Angle Closure

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Manjool Shah, MD

Using MIGS to Expand Your Practice

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Michael D. Greenwood, MD; and Lorraine M. Provencher, MD

How to Grow Your Practice With MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Lorraine M. Provencher, MD; and Michael D. Greenwood, MD

Part Two: Matching the Best Glaucoma Procedure to Each Patient

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Davinder S. Grover, MD, MPH; and Mark J. Gallardo, MD

Matching the Best Glaucoma Procedure to Each Patient

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Davinder S. Grover, MD, MPH; and Mark J. Gallardo, MD

Traditional Glaucoma Surgery Meets MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Mary Qiu, MD

Sustained Drug Delivery: Expectations vs. Reality

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Nathan M. Radcliffe, MD

Successful Skills Transfer

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Bac T. Nguyen, MD

The Acceleration of Interventional Glaucoma

Iqbal Ike K. Ahmed, MD, FRCSC; and Arsham Sheybani, MD

At-Home Diagnostics

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Barbara Wirostko, MD

MIGS in Multiples

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Xiongfei Liu, MD

The Case for Standalone MIGS

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Rachel G. Simpson, MD

Ahmed vs. Sheybani: Round 3

Iqbal Ike K. Ahmed, MD, FRCSC; and Arsham Sheybani, MD

Ahmed vs. Sheybani: Round 2

Iqbal Ike K. Ahmed, MD, FRCSC; and Arsham Sheybani, MD

Ahmed vs. Sheybani: Round 1

Iqbal Ike K. Ahmed, MD, FRCSC; and Arsham Sheybani, MD

MIGS Developments Anticipated in 2021

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; Sahar Bedrood, MD, PhD; Monisha M. Vora, MD; Michael D. Greenwood, MD; Lorraine M. Provencher, MD; and Larissa Camejo, MD

A Newer Device on the MIGS Scene

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Matt Schlenker, MD

Clearing Hurdles in MIGS Care

Iqbal Ike K. Ahmed, MD, FRCSC; Arsham Sheybani, MD; and Oluwatosin Smith, MD

MIGS and Match: Combining Procedures for Optimal Effect

Arsham Sheybani, MD, I. Paul Singh, MD, Ike K. Ahmed MD

One Piece of a Complex Puzzle

Arsham Sheybani, MD, Iqbal (Ike) K. Ahmed, MD, Peter Chang, MD

Showcasing Two Surgical Techniques

Anna T. Do, MD, Arsham Sheybani, MD, Brian Francis, MD, Iqbal Ike K. Ahmed, MD, FRCSC

Insights Into a Canal-Based MIGS Procedure

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Thomas Samuelson, MD

Advice on Performing Ab Interno Trabeculotomy and Viscodilation

Monisha Vora, MD

More Options in Glaucoma Drainage Devices

Arsham Sheybani, MD, Ian Conner, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Leonard Seibold, MD

Separating the IOP-Lowering Effects of MIGS and Cataract Surgery

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Jason Bacharach, MD

Educating the Next Generation of Surgeons

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Kelly Muir, MD

Advice on Learning to Perform MIGS Procedures

Iqbal Ike K. Ahmed, MD, FRCSC, Jeb A. Ong, MD, Valentina Lozano, MD

Optimizing the Use of an Antifibrotic Agent

Arsham Sheybani, MD, Richard Schroeder, MD

Learning to Use a Second-Generation Trabecular Microbypass System

Iqbal Ike K. Ahmed, MD, FRCSC, Jeb A. Ong, MD, Valentina Lozano, MD

Getting Started With Angle Surgery

Arsham Sheybani, MD, Richard Schroeder, MD

An Alternative Device for Patients With Moderate Glaucoma

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Joseph F. Panarelli, MD

Fresh Insights Into Scaffolding Schlemm Canal

Arsham Sheybani, MD, Inder Paul Singh, MD, Iqbal Ike K. Ahmed, MD, FRCSC

Canal Surgery for Glaucoma

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Steven R. Sarkisian, Jr., MD

The Angle's Importance in MIGS

Arsham Sheybani, MD, Ian Conner, MD, Iqbal Ike K. Ahmed, MD, FRCSC

The Roles of Advanced Imaging and Gonioscopy

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Lauren S. Blieden, MD

Patient Selection for a Subconjunctival MIGS Device

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Manjool Shah, MD

Choosing Among MIGS Procedures

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Oluwatosin U. Smith, MD

Tips for Success With a Second-Generation MIGS Device

Arsham Sheybani, MD, Iqbal Ike K. Ahmed, MD, FRCSC, Sahar Bedrood, MD, PhD