MIGS, which stands for minimally invasive glaucoma surgery, encompasses multiple methods to treat glaucoma for patients in any stage of the disease. The goal of MIGS is to reduce the overall eye pressure in the eyes and reduce or eliminate the need for glaucoma eye drops. Procedures such as MIGS can also positively impact your lifestyle by minimizing the expense of routine eye pressure lowering medicines, increasing medication compliance, and improving your ocular surface health. MIGS is a much safer and often more effective surgery for the majority of patients who suffer from mild to moderate glaucoma, which is why it is chosen more often by skilled cataract surgeons, like Dr. Alison R. Tendler. ART Vision most often uses the iStent to perform MIGS, but other options are available depending upon your specific need. Learn more about these implants and our surgical techniques below, then contact ART Vision in Sioux Falls, SD to schedule your consultation with Dr. Tendler.
iStent – The iStent is a micro-bypass device that is used during MIGS to reduce an individual's optical pressure by creating a accessory pathway for fluid drainage in the eye. Eye fluid, or aqueous, is produced and drained by the eye normally. In glaucoma, the normal drainage pathway can become blocked or decrease its function, creating increased eye pressure. Eye drops and procedures like MIGS can be use to help the fluid drain easier, thereby decreasing your eye pressure. The iStent was approved by the FDA in 2012 for the treatment of glaucoma and is the smallest glaucoma treatment device ever to be used on an individual.
"Dr. Allison Tendler and the staff at Art Vision are THE BEST. Their approach to patient care is refreshing. They listen to me at every appointment. They discuss treatment options and are sincere in their concern for my eye health. Their facility is amazing. Everyone single member of the staff has taken the time to get to know me and greets me by name when I walk in. Dr. Tendler is an expert and has walked me through every step of the way. From someone who was scared to death of having anything done with my eyes to being given the gift of sight - Art Vision is a world class organization and we are lucky to have them here in Sioux Falls."- M.H. / Google / Feb 14, 2020
"I was very happy and well-pleased with the excellent job Dr. Tendler did on repairing my drooping eyelids. She is very caring and concerned about her patients. I enjoyed meeting her and am very happy with the work she did for me. Being able to see with wide open eyes, and no eyelashes blocking my vision is great. I didn't realize what a difference the surgery would make."- K.D. / Healthgrades / Apr 25, 2017
"Amazing Care! - Dr. Tendler was kind and considerate. She even called my home number after surgery to see how I was doing. I don't think anyone could find a more caring doctor or facility."- Anonymous / Vitals / Jun 16, 2016
"Dr. Alison Tendler gave me the gift of sight back! Without her help I would be completely blind today. For many years my sight was deteriorating. I had tried new eyeglasses with different prescriptions but noting seemed to help with my vision issues. My optometrist Dr. Alan Jones referred me to Dr. Tendler. January of 2010 Dr. Tendler did a cornea cell transplant on my left eye. I was 55 at the time. I was scared what if it didn't work and I was blind in my left eye. Several days later I was at my business sitting in my office when I looked up and realized that I was able to see and read a sign that was across the road over 400 feet away. Dr. Tendler recommended that I do the surgery on my other eye and I agreed with her. Today my vision in both eyes is 20/20. Thank you Dr. Alison Tendler you gave me my eyesight back. I am forever grateful. I highly recommend Dr. Alison Tendler!"- L.J. / Office Visit / Mar 22, 2021
"8 months later I am thrilled by my refractive cataract surgery. I had both eyes done and within days of my surgeries being completed, I was amazed by how clearly I could see. By adding the refractive lenses, I am now able to read without the aid of glasses. As an avid golfer, I initially went in since I could not see the golf ball at a distance as it traveled and landed. I not only have my distance vision back, but my near vision as well. It has been an amazing opportunity to be able to see this well again."- J.H. / Office Visit / Mar 22, 2021
A board-certified ophthalmologist, like Dr. Alison Tendler, is the only vision professional equipped to determine whether or not you are a candidate for MIGS. As there are many types and degrees of severity with glaucoma, the type of treatment that will best control your symptoms will be unique to your diagnosis. During a consultation following a thorough eye exam, Dr. Tendler will create a customized treatment plan. The best candidates for MIGS are:
- 18 years of age or older
- Suffering from mild to moderate glaucoma
- Experiencing the symptoms of cataracts and glaucoma simultaneously
- Already on glaucoma medication
- Not receiving results from other treatment methods
- Desire less dependence upon glaucoma drops
What to Expect
MIGS will be performed as an outpatient procedure within our surgical facility. The technique could vary according to which form of MIGS is being performed. Before your procedure is initiated, numbing eye drops and an eye holder will be used to prepare your eyes for surgery. Additional types of sedation may be offered or recommended during the procedure. Because of the minimally invasive format of the procedure and the use of highly advanced technology, the entire procedure should only last a few minutes. When combined with cataract surgery, the procedures will occur simultaneously, improving not only your vision, but helping to create a lifestyle freer from your glaucoma drops.
Your recovery will not be long or painful as MIGS procedures are designed to be minimally invasive. Dr. Tendler or a member of the ART Vision team will provide you with detailed aftercare instructions before and after your procedure. You should closely follow all of these instructions and be sure to schedule and attend each recommended follow-up appointment. During these visits, our team will monitor your healing and determine whether your glaucoma treatment plan should include additional procedures to further improve your vision and slow the progression of your disease, and how to manage your current glaucoma drops.
Fight Back Against Glaucoma
Thanks to advances in the visual health industry, traditional glaucoma surgery is no longer the only way to seek thorough treatment for the multiple stages of glaucoma. With MIGS, patients can attain enhance their lifestyle and reduce progression of glaucoma with a minimally invasive procedure that requires minimal downtime. ART Vision is proud to offer some of the most advanced procedures available to help our patients decrease or eliminate the need for drops and fight back against their glaucoma. Contact ART Vision in Sioux Falls, SD to schedule your consultation with Dr. Tendler and learn more about MIGS. Let us help you continue to See the World Better and See Yourself Better.