The modern evolution of eye care is largely in the world of glaucoma. The advancement in surgical management of glaucoma have made surgical options more controllable and safer. It is with this that we encourage all of our glaucoma patients to better understand their options when it come to surgery. Talk to your surgeon and ask questions about which options is the best for you.
For general information about glaucoma, click here.
FACTS about glaucoma surgery
- There are many different options within the idea of glaucoma surgery.
- No matter which type of surgery the goal is the same: get fluid in the eye out to help lower eye pressure.
- iSTENTs can only be placed at the time of cataract surgery
- SLT is a great early management option for glaucoma
- YAG PIs are best for closed/narrow angle glaucoma
Trabeculectomy are still the gold standard of surgical glaucoma. When a "new" surgical option is proposed, the question researchers always ask is "how does this compare to the results of a trabeculectomy?" Often your surgeon might refer to this surgery as a trab.
The Glauko's iStent is a micro incision glaucoma shunt that can placed within the eye during cataract to help with the filtration of eye fluid. At the time of implantation, your surgeon will evaluation the eye's drainage system and place two microscopic stents.
1. Can only be done at the time of cataract surgery
2. A microstent that will not be felt
3. It can be removed
4. Safe for MRIs or metal detectors.
Selective Laser Trabeculoplasty (SLT)
Selective Laser Trabeculoplasty, SLT, is a great noninvasive option in the management of glaucoma. The concept is simple, if you have too much fluid in the eye then take a laser and open the drain. The procedure takes roughly 15 minutes, it is repeatable, and no anesthesia needed. Patients minimal to no discomfort.
Often this is the 1st line option for young patients.