MIGS — Minimally Invasive Glaucoma Surgery In Los Angeles

Los Angeles Glaucoma Group

Fellowship-Trained Glaucoma & Cataract Surgeons — Culver City & Torrance, Los Angeles

LA Glaucoma Group offers the complete range of minimally invasive glaucoma surgery (MIGS), the fastest-growing category of glaucoma treatment. MIGS procedures lower eye pressure through tiny, precision incisions with faster recovery, fewer complications, and less discomfort than traditional glaucoma surgery. Many MIGS procedures can be performed at the same time as cataract surgery, addressing both conditions in a single visit. Our fellowship-trained glaucoma specialists — Drs. Krivoy, Park, and Fazio — perform every major MIGS procedure available today at our Culver City and Torrance offices.

MIGS Procedures at LA Glaucoma Group

What MIGS procedures does LA Glaucoma Group offer?

We perform the full range of MIGS procedures, selecting the right approach based on each patient's type of glaucoma, stage of disease, and whether cataract surgery is planned at the same time. Our surgeons are experienced in the iStent Inject W — a pair of tiny titanium stents placed into the eye's drainage system to improve outflow — the Hydrus Microstent, which opens a larger section of the drainage canal, Kahook Dual Blade goniotomy for removing diseased trabecular meshwork, and OMNI canaloplasty, which opens Schlemm's canal for 360 degrees. We also perform endocyclophotocoagulation (ECP), which reduces fluid production from inside the eye, and implant the AlloFlo Uveo bio-spacer, which enhances the eye's natural uveoscleral outflow pathway — a newer approach that works with the eye's own physiology without disturbing the conjunctiva.

Can MIGS be combined with cataract surgery?

Yes — and this is one of the greatest advantages of MIGS. For patients who have both glaucoma and cataracts, we routinely perform a MIGS procedure at the same time as cataract surgery. This combined approach lowers eye pressure and can reduce or eliminate the need for daily glaucoma drops, all without adding significant time or recovery to the cataract procedure. As glaucoma specialists who also perform premium cataract surgery with advanced IOLs, our surgeons are uniquely qualified to plan and execute both procedures together.

Can MIGS be performed without cataract surgery?

Absolutely. While MIGS is often combined with cataract surgery, our surgeons also perform standalone MIGS — sometimes called primary MIGS or interventional glaucoma — for patients who want to lower their eye pressure or reduce their medication burden without waiting for cataract surgery. This approach reflects a shift in glaucoma management: rather than adding more eye drops or waiting until the disease progresses, interventional glaucoma treats the underlying drainage problem earlier. Primary MIGS can be the right choice for patients who struggle with the cost, side effects, or inconvenience of multiple daily drops, patients whose pressure isn't adequately controlled on medications, or patients who simply prefer a proactive surgical approach over a lifetime of escalating medical therapy. Procedures like Kahook Dual Blade goniotomy, OMNI canaloplasty, and the AlloFlo Uveo bio-spacer are particularly well suited for standalone MIGS.

How is MIGS different from traditional glaucoma surgery?

Traditional surgeries like trabeculectomy and glaucoma drainage devices are highly effective for advanced glaucoma but involve creating a new drainage pathway and carry a longer recovery. MIGS works with the eye's natural drainage anatomy, using microscopic devices and incisions. The result is a quicker recovery with a strong safety profile — making MIGS ideal for patients with mild to moderate glaucoma, patients who want to reduce their drop burden, and patients undergoing cataract surgery.

How do I know which MIGS procedure is right for me?

Each MIGS procedure has different strengths. Your surgeon will evaluate your type of glaucoma, your current intraocular pressure, how many medications you're using, the anatomy of your drainage angle, and whether you're having cataract surgery. Some patients benefit from a trabecular bypass (iStent, Hydrus), others from tissue removal (Kahook, OMNI), and others from enhancing uveoscleral outflow (AlloFlo Uveo) or reducing fluid production (ECP). Having all of these options available under one roof means we match the procedure to your eyes — not the other way around.

What about sustained-release glaucoma medications?

In addition to MIGS procedures, we offer the latest sustained drug delivery implants that can reduce or replace daily eye drops. The iDose TR is a tiny implant placed inside the eye that continuously delivers travoprost — a proven glaucoma medication — for extended periods, eliminating the need for patients to remember daily drops. Durysta (bimatoprost intracameral implant) is a biodegradable implant that releases medication inside the eye to lower pressure for months. Dr. Krivoy served as a principal investigator in clinical trials evaluating Durysta, giving our team firsthand experience with this technology from its earliest development. These sustained-release options are ideal for patients who have difficulty using eye drops consistently, experience side effects from topical medications, or want a more convenient approach to managing their glaucoma. They can also be combined with MIGS procedures or implanted at the time of cataract surgery.

Where can I get MIGS in Los Angeles?

LA Glaucoma Group performs MIGS at our Culver City and Torrance offices, serving patients throughout Los Angeles and the South Bay. Drs. Krivoy, Park, and Fazio are fellowship-trained glaucoma specialists. Call us or book online to schedule a consultation.