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“MIGS” refers to minimally invasive glaucoma surgery. These are procedures done in the operating room, (not in the office), usually aimed at manipulating the “drain” of the inside of the eye. These procedures can sometimes be done at the time of cataract surgery, while some can be done even in the absence of cataract surgery, or “stand alone”. They are considered less invasive than traditionally “invasive” surgery for glaucoma, such as a trabeculectomy, or a tube implant, both of which involve making a larger incision on the surface of the eye, involve longer recovery, and will result in a dramatic lowering of intraocular pressure. These larger surgeries involve bypassing your own natural drain, which is not working well in glaucoma. The minimally invasive surgeries are trying to get your natural drain to work “better”, rather than abandoning their function. In terms of what to expect, the recovery from a MIGS procedure would be similar to recovery following cataract surgery. We will arrange several postoperative visits at the time of scheduling your initial surgery. If we can, before surgery, we would have you withhold certain medications that might thin your blood. After surgery, your eye is likely to feel scratchy, and blurry, due to low grade inflammation that can get stirred up with surgery. We also ask patients to reduce activity level for the first week following surgery, and this is mostly aimed at reducing “straining”-type activities. There will also be different eyedrops you would use, such as anti-inflammatories and antibiotic drops, and we would guide you through your short course of those medications, usually about a month-long. The Medical Eye Center has offices in Bedford, Manchester, Nashua and Peterborough, New Hampshire. Code: PUI4IPJG515CYYB2