Lorem Ipsum Dolor! convenient online scheduling

    Why combine cataract and MIGS?

Cataract Surgery with Glaucoma (MIGS Stent Options)

Ready To See & feel your best?

Schedule
Today

Why combine cataract and MIGS?

Treating cataracts and glaucoma in the same surgical session can maximize visual outcomes, reduce intraocular pressure, and prevent the need for two separate surgeries. This approach reflects the practice’s commitment to advanced technology, efficiency, and personalized patient care.

Cataracts cloud the natural lens of the eye, causing blurred vision, glare, and difficulty with color and contrast. Cataract surgery restores clarity by replacing the cloudy lens with a clear intraocular lens.

Glaucoma damages the optic nerve, often due to increased intraocular pressure. Without treatment, this can lead to permanent vision loss. Preventing progression depends on lowering and maintaining safe eye pressure.

MIGS refers to a group of less invasive glaucoma procedures that use microscopic stents or outflow-enhancing techniques to improve fluid drainage. Compared with traditional surgeries, MIGS typically provides quicker recovery and a strong safety profile.

A combined cataract and MIGS procedure addresses both conditions in one step.

  • One surgery and one recovery period
  • Improved vision and reduced eye pressure
  • Possible reduction of glaucoma medications
  • Less tissue disruption compared with traditional glaucoma surgery

Different MIGS devices are suited to different patient needs and anatomy.

  • iStent: A tiny trabecular micro-bypass for mild to moderate open-angle glaucoma
  • Hydrus Microstent: A micro-scaffold that dilates Schlemm’s canal to improve outflow
  • XEN Gel Stent: A soft gel implant that creates an additional drainage pathway for select cases

    Your experience with Dr. Hilal-Campo

Your experience with Dr. Hilal-Campo

With over 28 years of experience and advanced surgical training, Dr. Hilal-Campo provides individualized care for patients combining cataract and MIGS. She integrates precise diagnostic testing, thorough explanations, and a clear plan to achieve the best possible outcomes.

A full examination includes eye pressure measurement, optic nerve evaluation, and advanced imaging like biometry and corneal topography. Discussion of lifestyle needs, such as night driving and computer work, influences lens and MIGS choices.

Cataract surgery may be enhanced with laser-assisted techniques and premium intraocular lens selection. A MIGS device can be placed through the same microscopic incisions to lower eye pressure without additional recovery time.

Patients may choose from monofocal intraocular lenses or premium options such as Vivity, which extends focus to reduce dependence on glasses for distance and intermediate vision. Recommendations are tailored to personal goals and eye health.

Procedures are performed in an outpatient setting with local anesthesia and light sedation. Most patients return home the same day with clear post-operative instructions, eyedrop regimens, and a protective eye shield.

The practice provides thorough follow-up care to monitor healing, eye pressure, and visual function. Patients consistently report same-day access for urgent issues and an unrushed, attentive care style.

    Recovery, results, and long-term care

Recovery, results, and long-term care

Most patients notice clearer vision within the first week. Many can reduce or simplify their glaucoma medicine routine after MIGS, but ongoing exams remain essential to protect vision over time.

Expect clearer vision within days of surgery. Mild irritation or light sensitivity typically resolves with drops. Normal activities are resumed gradually as directed by the surgeon.

Cataract removal sharpens vision, and many patients with premium lenses need glasses less often. Some will still use readers for detailed near work.

MIGS devices continuously improve outflow. Some patients reduce or eliminate drops, while others continue simplified regimens depending on glaucoma severity.

Risks include infection, inflammation, or device-related issues, though MIGS procedures are designed to minimize complications. Careful patient selection and experienced surgical technique further enhance safety.

Combined cataract and MIGS surgery is most often recommended for patients with visually significant cataracts and mild to moderate open-angle glaucoma, especially if reducing medication burden is a priority.

Frequently asked questions

Patients often have common questions about safety, candidacy, and outcomes. Below are straightforward answers to support informed decision-making.

Yes. MIGS procedures are associated with small incisions and a lower complication risk compared to traditional glaucoma surgeries, making them safe when performed by an experienced surgeon.

Many patients reduce or even stop drops after MIGS, but this depends on the level of disease, optic nerve health, and target pressure. The goal is stable, safe pressure with as few medications as possible.

Candidates generally have cataracts affecting daily life and mild to moderate open-angle glaucoma. A complete eye exam determines suitability and which MIGS option is best.

Monofocal lenses deliver excellent clarity at one distance, while advanced lenses like Vivity extend vision for greater independence from glasses. Recommendations are based on lifestyle needs and eye health.

Most patients return to daily activities within a few days and resume driving once vision clears, usually within the first week, based on the surgeon’s guidance.

Medically necessary cataract surgery is covered by Medicare and most insurers. MIGS performed for glaucoma is typically covered as well. Premium lens upgrades may require additional out-of-pocket expense, which is discussed beforehand.

    Schedule a consultation in Oakland, NJ

Schedule a consultation in Oakland, NJ

Patients from Bergen, Passaic, and Essex Counties are welcome to schedule an evaluation with Dr. Diane Hilal-Campo to explore whether combined cataract surgery with MIGS is the right path for clear vision and glaucoma care goals.

Reviews
Google review
4.7
320
Hear From

Our Happy Patients

Ready To See & feel your best?

Schedule
Today