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

This trial is testing a minimally invasive glaucoma surgery technique called micro-sclerostomy (MIMS) to help lower eye pressure in people with glaucoma that is not well controlled by eye drops alone. Glaucoma is a condition where high pressure in the eye damages the optic nerve and can lead to vision loss. **You may be eligible if...** - You are 18 or older - You have open-angle glaucoma (including pigmentary or pseudoexfoliative types) with uncontrolled eye pressure despite maximum tolerated eye drop treatment - Your eye angle is open on examination and the conjunctiva (white part of the eye) is healthy without scarring - OR you have chronic angle-closure glaucoma needing combined glaucoma and cataract surgery **You may NOT be eligible if...** - You have other significant eye problems besides cataracts - You have had previous eye surgery (other than cataract removal), eye injury, or scarring in the area planned for surgery - You have neovascular glaucoma (related to abnormal blood vessel growth) - Your vision is very severely reduced (worse than counting fingers) - You are pregnant or breastfeeding - You have severe systemic illnesses that would make surgery unsafe Talk to your doctor to see if this trial is right for you.