Efficacy and safety of trabeculectomy versus micro-invasive glaucoma procedures (MIGPs) in managing glaucoma: a systematic review and meta-analysis

Trabeculectomy provides greater IOP reduction, whereas MIGPs demonstrate a more favorable safety profile and reduced postoperative medication burden, with mixed effects on success definitions (higher complete success but lower qualified success). These findings support individualized surgical selection based on target IOP, risk tolerance, and patient-centered priorities.