Efficacy and Safety of Minimally Invasive Micro-Sclerostomy (MIMS) in Glaucoma Surgery

Inclusion Criteria:

• Patients ≥ 18 years old who agree to participate in the study having signed informedconsent

• Primary open-angle glaucoma, pseudoexfoliative glaucoma or pigmentary glaucoma withindication for glaucoma surgery (defined as uncontrolled intraocular pressure orworsening of visual fields, despite maximum tolerated medical therapy) and openiridocorneal angle ( trabecular meshwork visible on gonioscopy, Shafferclassification grade 3-4) and healthy and mobile conjunctiva (without scars oradhesions).

• Chronic angle closure glaucoma with indication for combined glaucoma and cataractsurgery

Exclusion Criteria:

• Presence of other ophthalmological pathologies (except cataract)

• History of intraocular surgery (unless cataract surgery), history of trauma, orconjunctival scarring in the quadrant planned for surgery

• Visual acuity lower than "counts fingers" ", closure of the iridocorneal angle (andangle-closure glaucoma unless associated cataract surgery), neovascular glaucoma orneovascularization of the iris, pachymetry < 490 μm or > 620 μm.

• Presence of severe systemic pathologies, pregnant or breastfeeding woman