Surgery

For patients who are having cataract surgery and have glaucoma as well. This laser is applied to the ciliary processes (the area where the fluid is made in the eye) so that fluid production is slowed down. This in turn, lowers the pressure inside the eye.

For patients in whom medications and laser have not been helpful, a new drainage passage is created by cutting a small hole in the sclera (the white part of the eye) and a reservoir is made between the sclera and the conjunctiva (the thin clear covering of the eye)

For patients with narrow angle glaucoma, a small hole is placed in the iris to open up the angle between the iris and the cornea to facilitate fluid drainage.

For patients who have open angle glaucoma, Selective Laser Trabeculoplasty (SLT) and Argon Laser Trabeculoplasty (ALT)  are used to open the drainage system in these patients so that the internal drainage system of the eye functions better. In that way, the pressure is then lowered in the eye. This procedure is effective in 75% of patients.

Neodymium:YAG Laser Cyclophotocoagulation (YAG CP) is for patients with very severe glaucoma damage where all other procedures have failed.  The ciliary body that produces the fluid inside the eye is destroyed.

We perform no-stitch cataract surgery through a very small incision. After the eye is numbed with anesthesia, a phacoemulcification (ultrasound) probe is inserted into the eye and the cataract is broken up or emulsified. It is then gently removed from the eye. Step 2 involves the placement of a new artificial lens called an IOL. The IOL will correct for the majority of your distance vision. Fine tuning is done with a prescription for glasses. Some patients will only need glasses for reading.