At New Eyes Las Vegas, we are committed to early detection and successful management of glaucoma. Experienced ophthalmologist Jason C. Smart, MD has joined the New Eyes team in order to provide our patients with some of the latest minimally-invasive surgical treatment options available. Dr. Smart specializes in minimally invasive glaucoma surgery and completed an ophthalmology residency with direct training from some of the pioneers in the field of micro-invasive glaucoma surgery.
How Is Glaucoma Treated?
There is no cure for glaucoma, and vision loss due to damage of the optic nerve typically cannot be restored. This is why regular checkups and early detection are crucial. However, there are several options to treat glaucoma and protect vision from deteriorating as discussed, below.
Eye Drops for Glaucoma
Prescription eye drops are typically the first treatment option recommended to patients. There are several different types of eye drops that can help control eye pressure to prevent the progression of glaucoma. Your doctor at New Eyes can help customize your eye drop regimen to best fit your needs.
GLAUCOMA DROPS VIDEO
Laser Glaucoma Treatment with SLT (selective laser trabeculoplasty)
If eye drops are not sufficient in managing elevated eye pressure, several options are available, including laser surgery with selective laser trabeculoplasty (SLT). SLT uses a gentle light that can help improve drainage from the eye. It often reduces dependence to drops. It often reduces the dependence on drops and in some may even stop the need for ongoing glaucoma medication. The effects of this procedure can last 1 to 5 years and and may be repeated in the future.
GLAUCOMA: S.L.T. SURGERY VIDEO
Minimally-Invasive or Micro-Invasive Glaucoma Surgery (MIGS)
If glaucoma continues to progress, surgery may be required in an attempt to relieve eye pressure and reduce potential damage to the optic nerve. The category of surgeries called MIGS are minimally-invasive to optimize results with improved patient comfort and safety. There are several types of MIGS offered at New Eyes:
- iTrack ABiC™ (ab-interno canaloplasty) The iTrack ABiC procedure utilizes a tiny micro-catheter to enlarge the drainage canal of the eye without cutting through the outer wall of the eye. Not to be mistaken with traditional canaloplasty, this minimally-invasive approach leaves no hardware or other glaucoma devices behind.
- GATT (gonioscopy-assisted transluminal trabeculotomy) In the GATT procedure, the drainage system is unroofed, allowing greater access to the drain of the eye.
- iStent® Trabecular Micro-Bypass Stent The iStent is part of a dual procedure to treat glaucoma and cataracts. Following cataract surgery, a tiny stent – the smallest medical device approved by the FDA – is placed in the eye to enhance drainage.
MIGS: HOW MICRO-STENTS WORK VIDEO
Benefits of MIGS*
The innovative options available for minimally invasive glaucoma surgery offer many benefits, including:
- Reduction and long-term control of eye pressure
- Suitability for mild to moderate glaucoma
- Minimal trauma to delicate eye tissue
- Fewer risks compared to traditional glaucoma surgery
- Relatively quick recovery time
- May be combined with cataract extraction or performed on patients who do not need cataract surgery.
*Individual Results May Vary
Traditional Glaucoma Surgery
If initial treatment is not successful in controlling eye pressure, or if glaucoma is advanced, then a traditional surgical approach may be needed. Examples of traditional surgical options include:
- Trabeculectomy This surgical procedure, also referred to as glaucoma filtration surgery, involves creating a new channel allowing fluid to drain into a blister-like fluid collection (bleb) on the outside of the eye. The goal is to reduce pressure in the eye to prevent further damage to the optic nerve.
- Tube Shunts In this surgery, a flexible tube with an attached drainage pouch is placed in the eye to reduce pressure.
TRABECULECTOMY: OVERVIEW VIDEO
Regular eye exams with a qualified professional are often the only way to detect glaucoma. Contact us to schedule an appointment. If you have glaucoma, Dr. Smart can evaluate your progression, discuss treatment options with you, and create a personalized plan to prevent further damage and vision loss.