Minimally Invasive Glaucoma Surgery (MIGS) in Karachi: A Gentler Approach

Glaucoma is a long-term eye condition that can lead to irreversible vision loss if not properly managed. While traditional surgeries are effective, they can be more invasive and require longer recovery times. Minimally Invasive Glaucoma Surgery (MIGS) has emerged as a gentler, safer alternative for patients in Karachi seeking effective eye pressure control with quicker healing and fewer complications.

What Is MIGS?

MIGS refers to a group of advanced procedures designed to reduce intraocular pressure using microscopic tools and tiny incisions. These techniques enhance the eye’s natural drainage system without the need for large surgical openings.

Because MIGS procedures are less invasive, they offer more comfort and faster recovery—making them ideal for patients with mild to moderate glaucoma.

Benefits of MIGS

Patients undergoing MIGS in Karachi can expect:

  • Small, nearly invisible incisions
  • Lower risk of complications compared to traditional surgery
  • Faster recovery time
  • Improved safety profile
  • Reduced dependence on glaucoma drops
  • The option to combine MIGS with cataract surgery

These advantages make MIGS a popular choice for individuals who want effective pressure control with minimal disruption to daily life.

Types of MIGS Procedures

Common MIGS techniques available in Karachi include:

• iStent or Hydrus Microstent – Tiny implants that improve fluid drainage.
• Kahook Dual Blade (KDB) goniotomy – Removes a small strip of tissue to open the drainage system.
• Trabectome – Helps fluid flow more easily through the eye’s natural channels.

Your glaucoma specialist will recommend the best option based on disease severity and overall eye health.

Who Is a Good Candidate?

MIGS is typically recommended for:

  • Mild to moderate open-angle glaucoma
  • Patients undergoing cataract surgery who also have glaucoma
  • Individuals unable to tolerate long-term glaucoma drops

It may not be suitable for advanced or aggressive glaucoma, where more traditional surgeries may be required.

What to Expect After MIGS

Most patients return to normal activities quickly. Mild redness or discomfort may occur but resolves within days. Eye pressure continues to improve as the eye heals.


If you are unsure whether your symptoms require emergency attention, it is safer to call your healthcare provider or eye clinic for advice.

With Pakistan’s internationally trained and most experienced cataract surgeons, corneal transplant surgeons and eye surgeons specializing in every single sub specialty in ophthalmology, The Eye Center – Dr. Mahnaz Naveed Shah & Associates in Karachi provides guidance for both routine and urgent eye care needs. Their team can advise whether you should schedule a screening or seek immediate attention, ensuring safety and comfort. For expert consultation, contact The Eye Center – Dr. Mahnaz Naveed Shah & Associates at 03041119544 to book an appointment.

With a proven track record of excellence in glaucoma and cataract care, Dr. Mahnaz Shah and her team are here to help you protect your vision—with confidence.

SLT in Karachi: Non-Invasive Glaucoma Treatment Guide

Glaucoma, especially open-angle glaucoma, is a leading cause of vision loss worldwide. If medications are not enough, or are causing side effects, Selective Laser Trabeculoplasty (SLT) offers a non-invasive, effective alternative. Here’s what Karachi patients should know about SLT at The Eye Center – Dr. Mahnaz Naveed Shah & Associates.


What Is SLT?

Selective Laser Trabeculoplasty is a laser procedure that improves your eye’s natural drainage system (the trabecular meshwork). By gently targeting pigmented cells in that drainage pathway, SLT stimulates them to work more efficiently so fluid (aqueous humour) can exit the eye more freely, lowering intraocular pressure (IOP).


Who Is a Good Candidate?

SLT is suited for:

  • Patients with open-angle glaucoma.
  • Those who haven’t achieved sufficient IOP control with drops.
  • Patients wishing to reduce dependence on glaucoma medications, perhaps due to side effects or compliance issues.

Procedure & Recovery

The procedure is outpatient and brief. First, your eye is numbed using drops. A special lens is placed, and then low-energy laser pulses are applied to the trabecular meshwork. You may hear clicking noises or see flashes.

After treatment, mild side effects like redness, slight discomfort, blurred vision or sensitivity to light may occur, usually lasting a few hours to a couple of days. An anti-inflammatory drop might be prescribed. Eye pressure will be monitored, as there is a small risk of temporary pressure rise.


Benefits of SLT

  • Non-invasive: No cuts or stitches; more comfortable and lower risk than surgery.
  • Effective: Can reduce IOP by about 20–30% in many cases.
  • Repeatable: If pressure rises later, SLT may be performed again.
  • Reduced reliance on medications: Helps when drops cause side effects or are difficult to manage.

Risks & Considerations

While SLT is relatively safe, there are risks:

  • Temporary increase in eye pressure immediately after the procedure.
  • Mild inflammation, redness or blurring. Usually resolves with treatment.
  • Rarely more serious complications, but these are very rare.

Why Choose The Eye Center in Karachi

At The Eye Center – Dr. Mahnaz Naveed Shah & Associates, you receive care from internationally trained ophthalmologists specializing in advanced glaucoma therapies. The clinic has the laser technology, experience, and follow-up protocols needed to ensure safety and maximize outcomes. For patients in Karachi, this means access to SLT in a trusted setting.


If you are unsure whether SLT is suitable for you, or whether your symptoms require urgent attention, call your eye clinic for advice.

With Pakistan’s internationally trained and most experienced cataract surgeons, corneal transplant surgeons and eye surgeons specializing in every single sub specialty in ophthalmology, The Eye Center – Dr. Mahnaz Naveed Shah & Associates in Karachi provides guidance for both routine and urgent eye care needs. Their team can advise whether you should schedule a screening or seek immediate attention, ensuring safety and comfort. For expert consultation, contact The Eye Center – Dr. Mahnaz Naveed Shah & Associates at 03041119544 to book an appointment.

With a proven track record of excellence in glaucoma and cataract care, Dr. Mahnaz Shah and her team are here to help you protect your vision—with confidence.