Is there a role for MIGS devices in the treatment of pediatric glaucoma?

PointFor children with primary congenital glaucoma, the pathology is at the trabecular meshwork, and for this reason, Schlemm’s canal-based surgery remains the treatment of choice. Goniotomy and trabeculotomy have reasonable success rates and a low risk for complications. If angle surgery fails, glaucoma drainage device surgery and trabeculectomy with mitomycin C can be considered, but these procedures carry significant risks and are difficult to perform in the pediatric population.