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Will MIGS replace drops as first-line treatment?
Microinvasive glaucoma surgery has the potential to replace drops as first-line therapy, not in all situations but in certain ones. When a newly diagnosed patient presents with moderate to severe glaucomatous disease, the proper course of action is to institute medical therapy and then move to incisional surgery if the patient is progressing or deemed likely to progress despite maximally tolerated medical therapy. However, for patients with ocular hypertension or mild glaucomatous disease, a MIGS procedure may be ideal as initial therapy.