Optimizing MIGS for Practice and Center Success - Report - MDSpire

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

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Clinical Report: Optimizing MIGS for Practice and Center Success

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.

Clinical Implications

Surgeons should focus on standardizing MIGS procedures and training.

Conclusion

MIGS offers effective treatment options in glaucoma surgery.

Related Resources & Content

  1. Glaucoma Physician, 2025 -- Practical Pearls for Optimizing MIGS
  2. Advancing glaucoma care: What's new in the 6th edition of the European Glaucoma Society guidelines
  3. Update on XEN Gel Stent: A Narrative Review on Indications, Surgical Technique, and Postoperative Management
  4. Glaucoma Physician — Practical Pearls for Optimizing MIGS
  5. Glaucoma Physician — Practical Pearls for Optimizing MIGS
  6. Optometric Management — CLINICAL: GLAUCOMA
  7. Advancing glaucoma care: What's new in the 6th edition of the European Glaucoma Society guidelines
  8. Update on XEN Gel Stent: A Narrative Review on Indications, Surgical Technique, and Postoperative Management | Ophthalmology and Therapy | Springer Nature Link
  9. Efficacy and safety of trabeculectomy versus micro-invasive glaucoma procedures (MIGPs) in managing glaucoma: a systematic review and meta-analysis - PubMed

Original Source(s)

Optimizing MIGS for Practice and Center Success

  • by Mitchell C. Shultz, MD

  • July 1, 2026

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