Laser treatment may also be as effective as eyedrops and used as initial treatment or in combination with eyedrops. MIGS implants maybe performed, particularly at the same time as cataract surgery to lower pressure instead of eye drops. While laser treatments are as effective as eye drops, they tend to wear off over time. MIGS implants are permanent and are often performed during cataract surgery. In some cases, a combination of treatments is used to manage glaucoma.