Minimally Invasive Glaucoma Surgery (MIGS) Cost in the U.S. (2025)
Minimally Invasive Glaucoma Surgery (MIGS) has become one of the most preferred options for patients with mild to moderate glaucoma. It is designed to lower intraocular pressure (IOP) with less trauma compared to traditional procedures like trabeculectomy. In 2025, many patients in the United States are considering MIGS due to its faster recovery time and reduced complication risks.
What Makes MIGS Different
Unlike conventional surgeries, MIGS techniques use microscopic devices and tiny incisions to improve the natural drainage of fluid from the eye. This results in shorter surgery time, minimal scarring, and a lower risk of infection. MIGS can also be combined with cataract surgery, making it a practical option for older adults with both conditions.
Cost of MIGS in the United States
The average cost of MIGS in the U.S. ranges from $4,000 to $6,000 per eye, depending on the type of device used and whether it is done alongside cataract surgery. This cost typically includes the surgeon’s fee, anesthesia, and facility charges. Insurance coverage plays a big role in determining your out-of-pocket expenses, as many insurance providers cover MIGS when deemed medically necessary.
Cost of MIGS in the Philippines
In the Philippines, MIGS is less common and may only be available at major eye centers or private hospitals in Metro Manila. The cost is often lower compared to the U.S., averaging between PHP 80,000 and PHP 150,000 per eye. However, prices vary depending on the chosen procedure, the surgeon’s expertise, and the facility. Some patients still choose to travel to the U.S. for access to the latest MIGS devices and techniques.
Find out how much laser glaucoma surgery costs in America.
https://glaucoma.ph/glaucoma-surgery-cost-us-2025/
Popular MIGS Procedures in 2025
Several MIGS devices and procedures are widely used in the U.S. today:
iStent / iStent inject – A tiny titanium stent implanted in the eye’s drainage pathway to improve fluid outflow.
Hydrus Microstent – A curved device that opens a section of the drainage canal.
XEN Gel Stent – Creates a new drainage pathway from the front of the eye to the subconjunctival space.
Trabectome / Kahook Dual Blade – Removes a portion of the trabecular meshwork to enhance fluid drainage.
Each procedure is selected based on the patient’s level of glaucoma, eye anatomy, and target IOP reduction.
Recovery After MIGS
Recovery from MIGS is generally faster compared to traditional surgery. Most patients experience mild discomfort, light sensitivity, and blurry vision for the first few days. Vision usually stabilizes within one to two weeks. Eye drops are prescribed to prevent infection and inflammation, and follow-up visits are necessary to monitor IOP levels.
When MIGS Is Recommended
MIGS is best suited for:
Patients with mild to moderate open-angle glaucoma
Those undergoing cataract surgery who want IOP control
Patients who cannot tolerate glaucoma medications
For patients with advanced glaucoma or extremely high eye pressure, traditional surgery such as trabeculectomy or tube shunts may still be required.
Key Takeaways
MIGS offers a safer, faster recovery alternative for glaucoma patients.
Costs in the U.S. average $4,000–$6,000 per eye, while the Philippines may offer lower prices.
Choosing the right MIGS device depends on glaucoma severity, surgeon recommendation, and insurance coverage.
Early consultation with an ophthalmologist helps determine the best surgical approach for your case.
