While MIGS surgery is well within the scope of the cataract surgeon, preparation is necessary before performing these procedures to gain a thorough understanding of the anatomy, devices and techniques, and the ergonomics and challenges associated with performing various MIGS procedures. Angle anatomy must first be well understood especially in terms of the landmarks such as the TM and Scleral Spur and various resources are available to help gain this knowledge. The surgeon must become familiar with the particular MIGS technique or device they will be using. Training materials and company representatives (when available) can provide specific information and helpful tips for success. Visualization of the angle anatomy is one of the biggest challenges as the ergonomics involved are quite different from typical cataract and anterior segment surgery. The use of model eyes to practice head tilt positioning, visualization of the angle using a prism, and working with the MIGS devices to simulate the entire surgical procedure is extremely helpful for surgeons prior to actual surgery. These models provide a training platform to practice in a non-stressful setting where the surgeon can make adjustments and gain confidence prior to their initial cases.
Lecturer: Dr. Stuart Stoll, MD, Founder & President, insEYEt, LLC, California, USA