Shivesh Varma1,2, Simon Skalicky3,4

Minimally invasive glaucoma surgery (MIGS) is a collection of operative procedures that aim to increase the outflow of aqueous humour from the anterior chamber, reducing intraocular pressure. iStent Inject is a Glaukos MIGS device inserted through a cataract incision that traverses the trabecular meshwork, diverting aqueous from the anterior chamber into Schlemm’s canal. We present a how-to demonstration of iStent inject insertion following routine cataract surgery, with pleasing results. In particular we highlight key procedural steps and emphasise important landmarks seen during intraoperative gonioscopy. This is a valuable technique for ophthalmic surgeons wishing to expand their arsenal of management strategies for glaucoma.

Category: Surgical Technique