Sectoral Goniotomy and GATT: A Beginner's Guide to MIGS

Minimally Invasive Glaucoma Surgery (MIGS) has transformed how we approach glaucoma management, offering safer, highly effective alternatives to traditional filtering surgeries. This comprehensive text-based course guides you through the foundational concepts and practical surgical steps of sectoral goniotomy and Gonioscopy-Assisted Transluminal Trabeculotomy (GATT). By reading this guide, you will transition from understanding basic angle anatomy to confidently analyzing surgical indications, step-by-step techniques, and complication management protocols. You will develop a systematic approach to evaluating patients, preparing for the procedure, and managing postoperative care using clear, written clinical scenarios. What you'll learn: 1. Understand the core principles of MIGS, including sectoral goniotomy and GATT, and how they compare to options like Selective Laser Trabeculoplasty (SLT). 2. Identify ideal patient candidates by mastering angle anatomy and gonioscopic evaluation. 3. Learn the step-by-step surgical technique for performing GATT and sectoral goniotomy safely. 4. Manage intraoperative and postoperative complications, including hyphema and transient intraocular pressure spikes. 5. Analyze the cost-effectiveness and clinical viability of MIGS in diverse healthcare settings. 6. Explore modern postoperative protocols and patient monitoring strategies to ensure long-term surgical success. The course begins with essential terminology, anatomical reviews, and the history of angle-based procedures. You will then progress through detailed written walkthroughs of surgical techniques, complication management strategies, and real-world clinical decision-making exercises. This course is designed for ophthalmologists, residents, and eye care professionals looking for a clear, foundational introduction to sectoral goniotomy and GATT. No prior experience with MIGS is required. Start reading today to expand your surgical repertoire and elevate your glaucoma management strategies.