AGS 2019
    Glaucoma, Surgical Management

    In this EyeNet interview from AGS 2019, Dr. Thomas Samuelson offers advice on tailoring MIGS procedures to the specific needs of patients with glaucoma. Primary considerations include the patient's disease progression and severity, IOP and phakic status. When possible, Dr. Samuelson prefers to perform cataract surgery with a canal-type procedure; but in some cases, the patient might undergo cataract surgery alone or with a transscleral traditional trabeculectomy or tube shunt. The last option is best avoided unless warranted by the patient's disease severity, he notes. Dr. Samuelson also discusses options for standalone procedures.

    Relevant Financial Disclosures: Dr. Samuelson is a consultant and an equity owner for Glaukos, Ivantis and AqueSys/Allergan.