MIGS in Los Angeles, CA

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What is MIGS?

At Ophthalmology Associates of the Valley, we're excited to offer Minimally Invasive Glaucoma Surgery (MIGS) as a revolutionary treatment option for glaucoma patients in the San Fernando Valley of Los Angeles, CA. Falling under a new category of glaucoma procedures, MIGS uses micro-surgical techniques to lower intraocular pressure and slow optic nerve damage. These cutting-edge procedures are less invasive than traditional glaucoma surgeries, thereby reducing the risk of complications. Our practice offers MIGS assessments at both our Encino and West Hills locations. Visit us to explore this innovative approach to glaucoma management.

What Are The Benefits Of MIGS?

At Ophthalmology Associates of the Valley, we recognize the numerous benefits of Minimally Invasive Glaucoma Surgery (MIGS) for patients seeking effective treatment for glaucoma. The benefits of MIGS eye surgery include:

  • Less invasive: MIGS procedures are less invasive than traditional glaucoma surgeries, resulting in shorter operating times, reduced postoperative discomfort, and faster recovery periods.
  • Combined procedures: MIGS can be performed concurrently with cataract surgery, minimizing the need for additional surgeries and maximizing convenience for patients.
  • Lower intraocular pressure: MIGS techniques improve the aqueous humor outflow and reduce stress on the optic nerve, helping to preserve vision and prevent further damage.
  • Lower risk of complications: MIGS procedures have a higher safety profile and are associated with a lower risk of complications compared to more invasive surgeries.
  • Suitable for a broader range of patients: MIGS is ideal for patients with mild to moderate glaucoma, expanding treatment options for a larger population.

Our team understands the importance of embracing innovative and effective treatments like MIGS to provide patients with the highest quality of care.

Who is an ideal Candidate?

No two glaucoma patients are exactly alike. Patients present with varying subtypes of glaucoma with varying degrees of severity. In addition, each patient has specific visual as well as a specific lifestyle needs; therefore, each glaucoma patient requires a customized plan.

How is MIGS Performed?

As soon as we have established that someone is eligible for MIGS, we will further explain each of their options. Our Los Angeles, CA ophthalmologists specialize in a range of MIGS procedures, and each one is performed using the most cutting-edge technology and medical devices. Typically, MIGS treatments are performed as outpatient procedures and are completed quite quickly. Several MIGS treatments only take about 10 minutes to complete

Below, you will find a list of the minimally invasive treatments we offer.

iStent Inject – By creating a pathway through the eye, our ophthalmic surgeons can implant an iStent Micro-Bypass device to aid in draining aqueous fluid naturally from the eye. iStent is the smallest medical device ever implanted into humans. It decreases ocular pressure by creating a pathway in the high-resistance portion of the eye’s drainage system called the Trabecular Meshwork.

Generally implanted during cataract surgery, the iStent procedure is performed at our outpatient surgical center in Encino under localized sedation. There is no need to create additional incisions, as the stent is placed at the conclusion of the cataract procedure through the same opening. Our team will prep you for surgery with numbing eye drops and a mild sedative if necessary. 

Kahook Dual Blade – By opening the drainage system up with the Kahook dual blade, we can improve the natural outflow of aqueous fluids, decrease intraocular pressure, and lower the risk of glaucoma progression (which leads to blindness). The KDB (a single-use blade) has changed the way ophthalmologists perform minimally invasive glaucoma surgery (MIGS) with considerable success.

TRABECTOME® – The Trabectome procedure is a minimally invasive surgical treatment for the management of open-angle glaucoma. The procedure can be performed in conjunction with cataract surgery or by itself. The surgical procedure involves opening a portion of the eye’s internal drainage system utilizing a specially designed handpiece that delivers an electrosurgical pulse. The trabecular meshwork tissues are electro-cauterized, and all tissue debris is removed by washing out through an automated irrigation-aspiration system. This procedure does not involve opening up the conjunctival tissues, which is a major advantage, as it does not compromise potential future glaucoma surgery.

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Xen Gel Stent – The XEN Gel Stent is a soft, gelatin tube inserted into the eye to increase drainage. The stent is about as wide as a human eyelash and is 6mm long. It creates a new pathway for the fluid in the front of the eye to drain to the area just under the eyeball’s surface. This increased drainage then lowers your intraocular pressure.

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What can I expect after?

As these treatments are minimally invasive, the recovery time is a lot less compared to traditional glaucoma procedures. As a mild sedative may be used, you will need to arrange for a ride home. Almost all patients can go back to work and resume their other daily activities within a rapid timeframe. After the procedure is finished, we thoroughly discuss each patient's post-treatment needs for taking care of their eyes throughout the recovery period. We also require all MIGS patients to schedule a series of important follow-up visits at Ophthalmology Associates of the Valley so we can carefully monitor their intraocular pressure during the recovery period.

Patients can expect to have a few prescriptions to fill after their surgery to prevent infection and to decrease inflammation within their eyes. It is very important to follow the post-surgical instructions and attend all follow-up appointments with your Los Angeles, CA eye care provider as the treatment regimen is frequently modified.


What if glaucoma goes untreated?
Glaucoma can cause irreversible damage to the optic nerve. That's why it is so important to consult an eye doctor for routine exams and early detection. The specialists at OAVS are trained to recognize and diagnose glaucoma to slow the progression of the disease. MIGS can help reduce intraocular pressure and save your vision.

Is MIGS safe?
Yes! MIGS is extremely safe and effective when performed by a professional. MIGS is also a very precise process, and our team uses advanced technology to monitor and ensure the safety of each patient. If you're still unsure about MIGS, we invite you to call our office and discover how countless other patients have benefited from treatment.

How long does MIGS last?
Most patients turn to solutions like prescription eye drops to reduce intraocular pressure and prevent glaucoma from affecting their vision. With MIGS in Los Angeles, CA, we aim to provide treatment options that don't require the use of daily eye drops. MIGS is an exciting advancement for glaucoma patients who want long-term results.

How effective is MIGS?
MIGS has been shown to effectively reduce intraocular pressure in many patients. It's often most effective for those with mild to moderate glaucoma. Our experienced team will discuss how MIGS fits into your overall glaucoma management plan.

Are there risks associated with MIGS?
As with any surgical procedure, there are potential risks. However, MIGS procedures are generally considered safer and have fewer complications than traditional glaucoma surgeries. Our team at Ophthalmology Associates of the Valley will discuss any specific risks based on the procedure chosen and your individual health.

How do I know if MIGS is the right option for me?
The best way to determine if you're a good candidate for MIGS is to have a detailed discussion with your eye care specialist at Ophthalmology Associates of the Valley. They'll consider your specific type of glaucoma, its progression, and your overall eye health.


In the past, patients suffering from the later stages of glaucoma only had one solution for treatment. However, MIGS and laser surgeries now allow us to offer numerous kinds of treatments to help patients manage their glaucoma. Contact Ophthalmology Associates of the Valley in Encino or West Hills, to ask about a MIGS exam with an experienced ophthalmologist who can help you effectively manage your condition.


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*Individual results are not guaranteed and may vary from person to person. Images may contain models.