Glaucoma Surgery

Glaucoma Surgery Options

When eye drops do not adequately lower eye pressure enough to control a patient’s glaucoma, laser surgery or other glaucoma surgery may be recommended. Patients with a special condition called narrow angles can have angle closure glaucoma attacks, which can be prevented or treated with laser surgery to the iris.

IStent® Glaucoma Treatment

A new glaucoma treatment – a device called iStent® – can help lower Intraocular pressure (IOP).  Picture of iStent device for Glaucoma treatment Typically implanted during cataract surgery, iStent® device can effectively lower IOP, one of the most important risk factors for glaucoma, and may reduce your reliance on glaucoma medication at the discretion of an eye care professional.  Several of our Doctors are now Certified for use of the new technology, iStent: Dr. John DavidsonDr. William TrotterDr. Haghighi and Dr. Joseph Chen.  Read more about iStent®.

Istent is an implantable titanium stent that is FDA approved to be placed at the time of cataract surgery in selected glaucoma patients.  If you are a glaucoma patient considering cataract surgery, ask your doctor if the iStent might be appropriate for you.

Common Glaucoma Treatments And Surgeries At Miramar Eye

Glaucoma Surgery Ventura CA | Oxnard CA | Thousand Oaks CA

Laser Peripheral Iridotomy (LPI)

For patients with narrow-angle glaucoma. A small hole is made in the iris to increase the angle between the iris and cornea and encourage fluid drainage.

Argon Laser Trabeculoplasty (ALT) And Selective Laser Trabeculoplasty (SL

For patients with primary open angle glaucoma (POAG). The trabecular passages are opened to increase fluid drainage. ALT is effective in about 75% of patients, and SLT may be repeated.

Nd: YAG Laser Cyclophotocoagulation (YAG CP)

For patients with severe glaucoma damage who have not been helped with other surgeries. The ciliary body that produces intraocular fluid is destroyed.

Filtering Microsurgery (Trabeculectomy)

For patients who have not been helped with laser surgery or medications. A new drainage passage is created by cutting a small hole in the sclera (the white part of the eye) and creating a collection pouch between the sclera and conjunctiva (the outer covering of the eye).

Tube Shunt Surgery

May be recommended for patients with neovascular glaucoma, failed trabeculectomy, or susceptibility to developing scar tissue. A thin, flexible tube (a shunt) with a silicone pouch is inserted in the eye to facilitate drainage.

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Related Services

Explore our diverse range of eye care solutions, designed to meet the needs of every patient, ensuring comprehensive support and expert care across all aspects of ocular health.

Brow Lifts

A brow lift, also referred to as a forehead lift, raises the forehead and eyebrows through tiny incisions made behind the hairline and is ideal for patients with droopy eyebrows. Often done with eyelid surgery to raise the eyebrows and reduce forehead wrinkles.

DSEK Surgery

DSEK is the latest technique in corneal transplantation. Short for Descemet-stripping automated endothelial keratoplasty, DSEK offers clear post-operative vision and short recovery time to patients in need of new corneas.

During the procedure, the surgeon makes a mark in the surface of the patient’s cornea with a trephine (an instrument used to cut circular sections of tissue). This mark serves two purposes: it helps the surgeon determine what size the transplant should be, and also it outlines the area of the patient’s cornea that needs to be removed. Next, the surgeon scores the damaged section of the cornea and removes the membrane away from the eye. Then the donor cornea is folded into a “taco” shape and placed on the eye. A single stitch closes the incision.

Sometimes the new cornea unfolds on its own; other times, the surgeon unfolds it him/herself. When it is unfolded, a second stitch is made to close the wound and anchor the new cornea in place. The surgeon then injects an air bubble underneath the cornea, making sure it is centered on the eye, and dilates the pupil with eye drops.