Minimally Invasive Glaucoma Surgery (MIGS) in the Philippines
Overview of MIGS
Minimally Invasive Glaucoma Surgery (MIGS) represents a newer class of surgical procedures designed to lower intraocular pressure (IOP) with fewer complications compared to traditional surgeries like trabeculectomy. These techniques involve small incisions, shorter recovery time, and reduced risk of severe side effects.
MIGS procedures are often combined with cataract surgery but can also be performed independently for early to moderate glaucoma cases.
How MIGS Works
Unlike traditional glaucoma surgeries that create large drainage openings, MIGS uses micro-incisions and specialized devices to enhance the eye’s natural drainage pathways. The goal is to maintain steady IOP while minimizing trauma to the eye.
Common MIGS techniques include:
iStent or Hydrus Microstent – Tiny implants to improve aqueous outflow.
Kahook Dual Blade (KDB) goniotomy – Removes trabecular tissue to enhance drainage.
XEN Gel Stent – Creates an outflow pathway for aqueous humor.
Benefits of MIGS
Minimally invasive with fewer complications
Faster recovery compared to trabeculectomy
Can be performed during cataract surgery
Lowers the need for multiple glaucoma medications
Risks and Considerations
While MIGS is safer, it is not without risks. Potential complications include:
Mild bleeding in the eye
Temporary increase in eye pressure
Device displacement in rare cases
Most patients experience minimal discomfort and shorter healing times compared to conventional surgery.
Availability of MIGS in the Philippines
Is MIGS widely available in the Philippines?
Currently, MIGS is available only in select specialized eye centers and hospitals in major cities such as Metro Manila and Cebu. The adoption of MIGS is growing, but it may not be as common as traditional glaucoma surgeries. Patients may need to consult glaucoma specialists to determine if MIGS is an option for them.
A guide to Philippine glaucoma surgery pricing before patients.
https://glaucoma.ph/glaucoma-treatment-cost-philippines-2025/
Cost of MIGS in the Philippines
The cost of MIGS depends on the device used and hospital charges. In the Philippines, MIGS procedures can range from ₱120,000 to ₱200,000 or higher, especially when paired with cataract surgery. Devices such as iStent or XEN Gel Stent may increase the overall cost due to imported materials.
Who Can Benefit from MIGS?
MIGS is recommended for:
Patients with mild to moderate glaucoma
Individuals undergoing cataract surgery who also need glaucoma control
Patients who want to reduce dependence on eye drops
Recovery After MIGS
Most patients resume normal activities within a few days
Follow-up visits are required to monitor eye pressure
Some patients may still need glaucoma medications post-surgery, but at a reduced dosage
