MIGS glaucoma surgery in McKinney starts with a second opinion.
If you've been managing glaucoma with drops for years and wonder whether there's a better path — or if a new diagnosis has you searching for answers — McKinney patients drive 20 minutes south to Plano for a surgeon who explains the pressure goal before choosing the device.
A glaucoma diagnosis changes the conversation. The next step should be a plan, not just more drops.
Hearing "you have glaucoma" at 45 or 55 raises questions that have nothing to do with eye pressure: driving, independence, whether the disease will outpace the treatment. Those questions deserve a straight answer, because a pressure plan set too conservatively or too aggressively is the difference between stable vision and progressive field loss.
The consultation begins with a complete re-evaluation — gonioscopy to assess drainage angle anatomy, OCT of the optic nerve and retinal nerve fiber layer, visual field testing to map existing loss, and a full review of your pressure history and medications. Only once that data is assembled does Dr. Shehz discuss continued drops, SLT, a MIGS device — iStent, Hydrus, goniotomy, canaloplasty, Durysta, or iDose — or whether the nerve damage warrants filtration surgery or referral.
He will show you your own nerve scans and explain what the numbers mean in plain language. If MIGS is appropriate and cataract surgery is already indicated, both can be performed in one session, cutting trips from McKinney and total recovery. The drive is a straight 20 minutes south on US-75, and our team pulls your OCT baselines and field series directly from your referring doctor so nothing is repeated.
Stonebridge Ranch, Craig Ranch, Adriatica. Most arrive wanting a second opinion and leave with a written plan.
i.
One surgeon, full accountability.
The physician who reads your nerve scans and pressure trends is the one who operates. No rotating roster, no meeting the surgeon for the first time on procedure day.
ii.
Second opinions welcomed.
Many McKinney patients come because their current plan feels incomplete. We review outside records, repeat key tests, and give you an honest assessment — even if it confirms your current treatment is right.
iii.
Cataract + MIGS in one session.
When cataracts and glaucoma overlap, combining both procedures means one anesthesia, one recovery, and a pressure-lowering device placed while the eye is already open.
02/Understanding your options
Understanding your glaucoma treatment options.
Glaucoma is not a single disease — it is a family of optic neuropathies where elevated or fluctuating intraocular pressure damages the optic nerve over time, gradually narrowing the visual field. Because peripheral vision disappears first and painlessly, most patients don't notice the loss until it's significant. That's why glaucoma is called the 'silent thief of sight,' and why a proactive treatment plan matters more than waiting for symptoms.
Traditional management starts with prescription eye drops — one, two, sometimes three or four bottles a day. Drops work for many patients, but compliance is imperfect, side effects accumulate, and the daily burden grinds. Selective laser trabeculoplasty (SLT) offers a drop-free alternative for some, while advanced disease may require filtration surgery such as trabeculectomy or tube shunt. Between drops and traditional surgery sits MIGS: minimally invasive glaucoma surgery.
MIGS procedures — iStent, Hydrus, goniotomy, canaloplasty, Durysta, and iDose — use tiny devices or micro-incisions to lower pressure with less tissue disruption than traditional surgery, often at the same time as cataract removal. They don't replace traditional surgery for advanced glaucoma, but for mild-to-moderate disease they can meaningfully reduce drop burden, stabilize pressure, and protect remaining nerve fiber. The right device depends on your angle anatomy, pressure history, optic nerve status, and whether cataract surgery is already in the plan.
03/MIGS device options
Micro-invasive procedures matched to your pressure goals.
Which device fits depends on your pressure readings, nerve health, drop burden, and whether cataract surgery is part of the plan. Dr. Shehz walks through each option with you at consultation.
Trabecular micro-bypass stent
iStent
One of the smallest medical devices ever made, iStent is placed during cataract surgery to create a permanent opening in the trabecular meshwork, improving the natural outflow of aqueous humor and reducing intraocular pressure for mild-to-moderate open-angle glaucoma.
Hydrus is a flexible, crescent-shaped micro-stent that scaffolds open a large section of Schlemm's canal — the eye's natural drainage channel — during cataract surgery, providing a broader pressure-lowering effect than a single-point bypass.
Goniotomy removes a strip of diseased trabecular meshwork to restore direct drainage into Schlemm's canal. No implant is left behind, and it can be performed alone or combined with cataract surgery depending on the clinical picture.
Canaloplasty dilates and opens the full 360 degrees of Schlemm's canal using a microcatheter, restoring the eye's natural outflow system without leaving a permanent implant. It may suit patients whose angle anatomy supports a canal-based approach.
Durysta is a biodegradable implant placed inside the eye that slowly releases bimatoprost over months, reducing pressure without the burden of daily drop administration. It is a medication-delivery option, not a drainage device.
iDose TR is a tiny titanium implant placed inside the eye that continuously delivers travoprost directly to the trabecular meshwork, offering sustained pressure control and reducing or eliminating daily drop use for appropriate patients.
Every quote below is a real, public Google review — part of the 5.0-star rating across 92 reviews on our profile.
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Dr. Shez is the most informative and detail oriented LASIK doctor I have met in my entire life. With other LASIK doctors, the volume of patients they have is so high that they don't take the time to discuss with you what your options are. Dr. Shez on the other hand took over an hour the first time I visited and made sure to explain to me the variety of… Read full review
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I had a great experience with Visionary Eye Surgery and Dr. Shehz throughout my LASIK journey. From the consultation to the follow-ups, the staff was professional, patient, and reassuring every step of the way.
Even when I had a healing complication with one eye early on, they took care of it immediately, stayed in close contact with me, and made sure I… Read full review
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I had lasik and it was the easiest process! No pain and Dr. Shehz is amazing! I definitely recommend visionary eye and should have done this years ago.
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05/Getting here
The drive is the easy part.
The route
US-75 south from McKinney — about 20 minutes to the Plano flagship. Exit at Independence Parkway, ground floor with free patient parking.
The first visit is a comprehensive glaucoma evaluation — OCT, visual field, gonioscopy, pressure check, and records review. Plan on about 90 minutes. Bring your medication list, any prior testing, and your insurance card. A family member is welcome and often helpful for the discussion.
Open Monday–Friday 8:00–5:00 and Saturday 9:00–3:00, with English- and Spanish-speaking staff. Questions before booking? Call 214-972-2020 and a human answers.
06/FAQ
Questions patients ask, answered straight.
Don't see your question? Call 214-972-2020 or book a visit and ask Dr. Shehz directly.
Do you see McKinney patients for MIGS glaucoma surgery?
Yes. McKinney is one of our highest-referral cities for glaucoma consultations. The drive is about 20 minutes south on US-75. Dr. Shehz performs the evaluation, selects the appropriate device, operates, and handles all follow-up personally.
I've been on glaucoma drops for years. Should I consider MIGS?
Possibly. If your pressures are controlled but the drop burden is affecting your quality of life — stinging, redness, cost, forgetting doses — MIGS or a sustained-release implant like Durysta or iDose may reduce or replace daily drops. The decision depends on your pressure goal, nerve status, and whether cataract surgery is also indicated.
How is a glaucoma second opinion different from a routine check?
A second opinion includes a complete re-evaluation: gonioscopy of the drainage angle, OCT of the nerve fiber layer, visual field mapping, and a review of your full pressure history. We're not just confirming a number — we're assessing whether your current plan matches your disease trajectory.
Can MIGS and cataract surgery be done at the same time?
Yes. For many McKinney patients with both conditions, combining MIGS with cataract surgery is the most efficient path — one anesthesia, one recovery period, and the pressure-lowering device is placed while the eye is already open for lens exchange.
What if Dr. Shehz determines MIGS isn't right for me?
He'll tell you directly and explain why. Advanced disease, very low target pressures, or angle anatomy that doesn't support a micro-stent may require trabeculectomy, tube shunt, or referral to a glaucoma sub-specialist. You'll never be steered toward a device that doesn't fit your disease stage.
Does Medicare cover MIGS for McKinney patients?
MIGS performed alongside medically necessary cataract surgery is typically covered by Medicare and most commercial plans. Standalone MIGS and sustained-release implants may have different coverage. We verify your benefits before scheduling and provide a written estimate.
How do I get my records from my McKinney eye doctor to your office?
Our team handles the transfer. We send the records release to your McKinney optometrist or ophthalmologist and coordinate receipt of OCT scans, visual fields, pressure logs, and medication history. Most transfers complete within a few business days.
Still have questions?
Talk to our team, no pressure, no sales pitch. We answer the question, not the upsell.
Cataracts developing alongside glaucoma? Both can be addressed in one visit to the OR.
When cataracts and glaucoma overlap, combining premium cataract surgery with a MIGS device in a single session is often the most efficient and least disruptive path. Dr. Shehz performs both in the same Plano facility.
Ready for a pressure plan from McKinney? Bring the records. We'll bring the answers.
Book a glaucoma consultation, bring your testing and medication list, and leave with a written plan — not just a refill. About 20 minutes south on US-75. Call 214-972-2020 or book online.
