Optimizing MIGS for Practice and Center Success

The key is execution, understanding the clinical landscape, controlling device cost, engineering the intraoperative workflow, and scheduling/staffing with intention.

By
Mitchell C. Shultz, MD
July 1, 2026
9 min

Ophthalmology Management

Overview

Minimally invasive glaucoma surgery (MIGS) is becoming a core capability in ambulatory surgical centers (ASCs). The integration of MIGS with cataract surgery is shown to improve clinical outcomes.

Background

The shift of ophthalmic surgery from hospital outpatient departments to ASCs necessitates a focus on operational efficiency and patient safety. As the glaucoma burden increases, the role of MIGS becomes critical in providing effective pressure-lowering options.

Data Highlights

No specific numerical data provided in the source material.

Key Findings

MIGS is now considered a core capability in ASCs, impacting clinical outcomes.
When implemented effectively, MIGS can be performed with minimal disruption to high-volume cataract surgery.
Most MIGS procedures add only 3-8 minutes to surgical time when the team is properly trained.
Device logistics and intraoperative workflow are crucial for maintaining operational efficiency in ASCs.
Different MIGS mechanisms have varying operational demands and cost profiles.