HTA Details

Minimally Invasive Glaucoma Surgery

Publication date
2019-December-01
Status
Final
Topic Area
Eye
Recommendation

Final Recommendation:

  • Ontario Health, based on the guidance of the Ontario Health Technology Advisory Committee, recommends against publicly funding minimally invasive glaucoma surgery
Ministry Response
This recommendation has been superseded by iStent for Adults with Glaucoma (2021) and Minimally Invasive Bleb Surgery for Glaucoma (2024),and is no longer under review by the Ministry of Health.

Glaucoma is a condition that develops when the eye’s drainage system does not work properly. Pressure in the eye builds, causing progressive damage to the optic nerve. This can lead to vision loss or irreversible blindness.

Medication (eye drops) and laser therapy can reduce pressure in the eye for people with mild glaucoma. But those with advanced glaucoma may require an invasive treatment called filtration surgery. A newer, less invasive glaucoma treatment is available called minimally invasive glaucoma surgery (MIGS).

Ontario Health looked at the budget impact of publicly funding MIGS for adults with glaucoma, as well as at the experiences, preferences, and values of adults with glaucoma. This work complements a health technology assessment conducted in collaboration with the Canadian Agency for Drugs and Technologies in Health, which looked at the clinical effectiveness, safety, cost-effectiveness, patient perspectives and experiences, ethical issues, and implementation issues regarding MIGS for adults with glaucoma.

Last Updated: February 24, 2026