5 Key Takeaways

• 1

  At the 2026 AAO meeting, ophthalmologists discussed practical techniques and considerations for ab interno glaucoma surgery, including MIGS.

• 2

  The discussion grouped MIGS by aqueous outflow or production pathways: the canal, suprachoroidal space, subconjunctival space, and aqueous production.

• 3

  Techniques covered included trabecular microbypass stenting, ab interno goniotomy or viscodilation, and supraciliary stenting.

• 4

  Jacob W. Brubaker, MD, described differences among Hydrus and iStent models and emphasized understanding device use and approach angles.

• 5

  Larissa Camejo, MD, said thoughtful MIGS selection can individualize glaucoma care while reducing medication burden and supporting patients’ refractive and quality-of-life goals.