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MIGS has changed the paradigm of the management of mild-to-moderate open-angle-glaucoma. providing more options that can be deployed earlier in the disease spectrum. MIGS can decrease IOP and reduce burden of medications(AGM), is safe and overwhelmingly patient-centric as the post-operative recovery and visual rehabilitation is generally very rapid. MIGS in the angle follows the physiological-outflow-route –excisional goniectomy by Kahook Dual Blade(KDB) is one such procedure. It is a handheld knife designed to excise a strip of trabecular meshwork(TM) via the elevated parallel cutting edge of the blade–first engaging the TM with its tip and then stretching it via the ramp extending from the tip. A footplate, 230microns, is seated in the Schlemm’s Canal (SC) as the blade glides to excise a strip of stretched TM, preventing collateral damage to the outer wall of the SC. The excised strip is then easily removed. The main indication is an open angle, including those that open after laser peripheral iridotomy, though goniosynaechiolysis can also be performed. It can be done as a standalone procedure or can be combined with cataract surgery. In the former, mean IOP reductions of 11–36% and mean AGM reduction of 15–92% have been reported1-5 whereas in the latter, corresponding reductions reported are 11–34% and 11–79%.5-10 Transient, self-limiting bleeding due to regurgitation of blood via SC, is not uncommon, but commonest complication reported is an IOP spike (3-32%), usually at week1, the aetiology of which is not well elucidated, but may in part be a steroid response. Re-operation rates reported are in the range of 2-22%. None of the studies reported any significant sight threatening complications. To conclude, KDB effectively lowers IOP and reduces the medication burden, without compromising safety, in eyes with open angle.