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MIGS: Modern Glaucoma Treatment

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Minimally invasive glaucoma surgeries, often referred to as MIGS, are changing the way we manage early to moderate glaucoma. Rather than traditional surgeries that require more extensive incisions and recovery time, MIGS uses tiny tools and openings to help fluid drain from the eye more naturally. This modern technique means faster healing, less trauma, and fewer disruptions to your daily routine.

At his Hamilton Township office, Dr. Gregory Cox offers MIGS to help patients across Mercer County and the Trenton area lower their intraocular pressure when drops or laser therapy alone aren’t cutting it. Because MIGS procedures are designed to be safe and gentle, they’re especially well-suited for patients looking to stay ahead of glaucoma without the stress of major surgery.

With over 900 patient reviews and a flawless five-star average, our dedication to care is undeniable. Whether you’re navigating new symptoms or need help managing your current treatment plan, our office is here to help you protect your sight, quietly and effectively.

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Who Benefits Most from MIGS?

When our eye doctor evaluates candidates for MIGS, they look closely at the severity of glaucoma and the individual’s eye anatomy. MIGS is particularly beneficial for patients with mild to moderate glaucoma who have either not found relief with medications or struggle with compliance. Those undergoing cataract surgery may also experience additional benefits when MIGS is performed concurrently.

Ideal candidates typically include:

  • Patients with primary open-angle glaucoma who need a modest reduction in IOP.
  • Individuals who are intolerant of or have difficulty adhering to long-term eye drop regimens.
  • Patients with mild to moderate glaucoma looking for a safer alternative to traditional incisional surgery.

However, in cases where glaucoma is more advanced and achieving a very low IOP is critical, traditional incisional surgeries might still be recommended. Our eye doctor works closely with each patient to tailor the treatment strategy to their unique needs and ensure optimal safety and effectiveness.

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Risks Associated with MIGS

MIGS is safer than traditional glaucoma surgeries, but it still carries some risks. These may include mild bleeding inside the eye, temporary spikes in eye pressure, or inflammation after surgery. Serious complications are rare but can occur. Your doctor will explain the risks based on the specific type of MIGS procedure being performed.

How MIGS Works:
Restoring the Eye's Natural Drainage

Minimally Invasive Glaucoma Surgery (MIGS) is designed to lower eye pressure by improving how fluid drains from the eye. In glaucoma, high intraocular pressure (IOP) occurs when the eye’s natural drainage system doesn’t work efficiently, leading to potential damage to the optic nerve. MIGS procedures help relieve this pressure in a way that is safer and less invasive than traditional glaucoma surgeries.

MIGS works by enhancing or modifying the eye’s existing drainage structures. The goal is to either improve the flow of aqueous humor (the fluid inside the eye) through natural pathways or, in some cases, reduce the amount of fluid the eye produces.

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What to Expect During the Procedure

During a MIGS procedure, your eye will be numbed with local anesthesia to ensure comfort. The surgeon makes tiny cuts in the eye to insert small devices that help drain fluid and lower eye pressure. The procedure is typically done as an outpatient surgery, meaning you can go home the same day. If you are also having cataract surgery, MIGS can be performed at the same time using the same incision.

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What to Expect After MIGS

After MIGS, you may experience mild discomfort or blurry vision for a short time. Your doctor will prescribe eye drops to reduce inflammation and prevent infection. Regular follow-up appointments are essential to monitor your progress and ensure the procedure was successful. Avoid strenuous activities and protect your eyes during the initial healing period.

Benefits and
Considerations of MIGS

Despite many advantages of MIGS, it is important to remember that MIGS does not cure glaucoma. Instead, it manages the condition and slows its progression. Patients need lifelong follow-up care to monitor their eye health and address any changes in pressure over time. Our eye doctor is here to provide guidance and make adjustments as necessary to protect your vision.

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Frequently Asked Questions

Expert Glaucoma Eye Care Serving Mercer County

Glaucoma treatment isn’t one-size-fits-all. At his Hamilton Township office, Dr. Gregory Cox works closely with each patient to explain options like Minimally Invasive Glaucoma Surgery (MIGS), then builds a care plan that fits your lifestyle, vision needs, and long-term health.

Serving Mercer County and the Trenton area, Dr. Cox is known for attentive care and clear communication. From the moment you walk in, you’ll know your vision is in experienced, compassionate hands.

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Request an Appointment

609-586-0849

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If you’re looking for eye care that truly feels personal, you’ll find it right here in Hamilton Township at Gregory Cox, MD, conveniently located across from Robert Wood Johnson University Hospital. Our top-rated, board-certified ophthalmologist is known throughout Mercer County for his expertise and the genuine care he provides to every patient. That’s why patients and referring doctors from Trenton, Lawrence, Robbinsville, and beyond trust us for expert, personalized, and compassionate eye care.

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