Modern glaucoma eye drops are more effective and comfortable than ever. These medications can: 

• Lower eye pressure effectively 

• Reduce fluid production 

• Improve drainage 

• Protect the optic nerve 

This gentle laser treatment offers an alternative or complement to daily eye drops: 

• Quick, comfortable procedure 

• Performed in our office 

• Improves your eye's natural drainage 

• Can reduce or eliminate the need for drops 

• May be repeated if needed 

This revolutionary approach to glaucoma surgery represents one of the most significant advances in glaucoma treatment. MIGS procedures work by creating new pathways for fluid to leave your eye, effectively lowering eye pressure with minimal tissue disruption. 

During MIGS, your surgeon creates a tiny opening—smaller than a grain of sand—using microscopic instruments and advanced visualization techniques. This microsurgical approach allows us to enhance your eye's natural drainage system in one of several ways: 

Through the Eye's Natural Drainage Channel 

Some MIGS procedures target your eye's natural drainage pathway, called the trabecular meshwork. By creating a small opening or placing a microscopic stent in this area, we can help fluid flow more easily out of your eye. Think of it as clearing a clogged drain, allowing fluid to resume its natural outflow path. 

Creating New Drainage Pathways 

Other MIGS techniques create an alternative route for fluid to leave the eye. Using tiny implants or precise surgical techniques, we can establish new channels that bypass any blocked areas, like creating a detour around a traffic jam. 

Benefits of MIGS 

• Extremely small incisions that heal quickly.

• Performed through a tiny corneal incision. 

• Very low risk of complications.

• Rapid visual recovery. 

• Can be combined with cataract surgery.

• Often reduces dependence on glaucoma medications. 

• Preserves other surgical options if needed in the future. 

The MIGS Advantage During Cataract Surgery 

If you have both cataracts and glaucoma, we can often perform MIGS at the same time as your cataract surgery. This combination approach allows you to address both conditions with a single procedure, potentially reducing your need for glaucoma medications while also improving your vision. 

Is MIGS Right for You? 

MIGS may be an excellent option if you: 

• Have mild to moderate glaucoma 

• Are using multiple eye drops to control your eye pressure 

• Are planning to have cataract surgery 

• Want a safer alternative to traditional glaucoma surgery 

• Prefer a less invasive surgical approach 

iDose TR: A Breakthrough Treatment for High Eye Pressure

Infocus Eye Care is proud to be the first in the region to offer this exciting FDA approved option for patients with glaucoma or high eye pressure (ocular hypertension).  This page will help you understand what iDose TR is, how it works, and what you can expect during treatment.

What is iDose TR?

iDose TR is a tiny, implantable device designed to deliver medication directly to your eye over an extended period. It provides a sustained release of medication to help lower intraocular pressure (IOP), which is crucial for managing glaucoma and preventing vision loss.

How Does iDose TR Work?

• Implantation: The iDose TR device is implanted during a minimally invasive procedure performed by one of our surgeons.

• Medication Delivery: Once in place, the device continuously releases medication into your eye for a period of three years reducing the need for daily eye drops.

• Long-Term Effectiveness: iDose minimizes fluctuations in eye pressure over the duration of medication delivery.

Benefits of iDose TR

1. Convenience: Eliminates the need for daily eye drops, simplifying your treatment routine.

2. Consistency: Provides steady medication delivery, ensuring better control of IOP.

3. Improved Adherence: Reduces the risk of missed doses compared to traditional treatments.

4. Fewer side effects:  Limits dry eye symptoms related to medicated eye drop usage.

Who Can Benefit from iDose TR?

iDose is ideal for patients diagnosed with glaucoma or high eye pressure who struggle with regular use of eye drops or experience side effects from topical medications. 

What to Expect During Treatment

1. Consultation: Your doctor will discuss your medical history and perform tests to assess your suitability for iDose.

2. Procedure: The implantation process is quick, performed at the outpatient surgery center.

3. Follow-Up Care: Patients are typically seen in the clinic the day after surgery, then at 1 week and at 1 month before returning to regular monitoring.  You will briefly use an anti-inflammatory eye drop after surgery and your doctor may adjust your glaucoma medications.

Frequently Asked Questions

1. Is the procedure painful?

Most patients report minimal discomfort during implantation. Local anesthesia ensures your comfort.

2. How long does the device last?

The current implant is approved for three years although it may be effective for a longer period.  A five year implant is currently in trials.  

3. Are there any risks?

As with any medical procedure, there are potential risks such as inflammation, increased eye pressure, infection or device displacement.