Chief & Presenting Author: Dr.Prasanna Venkatesh Ramesh

Co Author(s): Dr. Pavithra Pannerselvam, Dr.Sai Thaejesvi Gopalakrishnan, Dr.Shruthy Vaishali Ramesh

Abstract

Minimally Invasive Glaucoma Surgery (MIGS) comprises various techniques, meticulously designed to enhance IOP control. Achieving an optimal view of the trabecular meshwork through direct gonioscopy is crucial in MIGS for precision in interventions. Strategically aligning the patient's head tilt and the microscope angle is vital for achieving an optimal viewing perspective. The advancement of gonioprism lenses signifies significant progress in simplifying the surgical technique. The TVG lens features a unique floating lens design supported by a stabilization ring and multiple pivot points. The recently developed iPrism® S guarantees outstanding clarity and wider views of angle structures. By placing the gonioprism on the cornea and providing cohesive viscoelastic support, this method ensures an unrestricted view of the nasal trabecular meshwork. This video will serve as a convoy for those foraying into the MIGS landscape, which requires the skills of direct gonioscopy in their arsenal.