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Glendale Office • Scottsdale Office • Surgical Centers

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Featured Surgeries

Featured SurgeriesAll of the glaucoma surgeries aim to reduce the intraocular pressure (pressure inside the eye) and reduce damage to the optic nerve. One of the most exciting aspects of glaucoma treatment is the constant refinement of surgical techniques. As we develop less risky techniques, we can intervene sooner in the course of disease, and hopefully, limit glaucoma from affecting patient's lives.

The procedures listed below are limited the ones we are most familiar with in our practice, and is not a complete list of all procedures available. If you have any questions about a procedure you may have heard about but don't see listed here, please feel free to contact us for additional information.

Featured Surgeries

One of the strengths of our practice is the broad array of glaucoma surgeries we offer our patients. We are proud to be the only practice in Arizona that can offer such a broad array of surgeries to our patients. We cater our surgical choices to each patient’s particular situation to ensure the best outcome possible.

Also, by constantly reviewing our own as well as national data, we are able to use the best clinical evidence to guide our choices. Furthermore, by participating in the most advanced clinical trials for surgical glaucoma, we always ensure our patients will be exposed to cutting-edge technology without compromising safety.

All of the glaucoma surgeries aim to reduce the intraocular pressure (pressure inside the eye) and reduce damage to the optic nerve. One of the most exciting aspects of glaucoma treatment is the constant refinement of surgical techniques. As we develop less risky techniques, we can intervene sooner in the course of disease, and hopefully, limit glaucoma from affecting patient's lives.

The procedures listed below are limited the ones we are most familiar with in our practice, and is not a complete list of all procedures available. If you have any questions about a procedure you may have heard about but don't see listed here, please feel free to contact us for additional information.

Canaloplasty

This surgery is called a "non-penetrating surgery" since the surgery aims to restore conventional outflow rather than create a new pathway for fluid to flow from the internal cavity of the eye to an external space. This surgery uses a micro-stent to open the drainage canal of the eye. It is based on the same stents used by cardiologists, but many times smaller. After the canal is identified and enlarged, the catheter is removed and a suture is placed within the canal. When the canal is opened, it allows fluid to drain more efficiently through the conventional outflow pathway, reducing intraocular pressures.

Trabectome

This technique involves the use of an innovative surgical device that allows us to operate on the trabecular meshwork, which is often the “area of greatest resistance” to fluid leaving the eye. The Trabectome utilizes an electrical ablation to create an opening within the trabecular meshwork, an area where some resistance to flow is encountered. This allows the fluid to access the drainage system beyond the trabecular meshwork and restore a more healthy intraocular pressure.

ExPRESS-device assisted Trabeculectomy

In traditional trabeculectomy surgery, a small fistula (pathway) is created between the anterior chamber (front part of the eye) and an external space, called a bleb (Latin for "blister"). The ExPRESS device is a small steel device that allows us to standardize the size of the opening and minimize inflammation inside the eye.

iStent – in addition to cataract surgery

This procedure involved the placement of microscopic stent to restore the natural drainage system at the same time as cataract surgery. The stent allows fluid to exit the eye through the natural system – from the trabecular meshwork to Schlemm’s canal. This procedure is best used in patients with early glaucoma.

Aqueous Shunt Surgery

This type of surgery is reserved for patients with unique forms of glaucoma or patients who have failed previous glaucoma surgery. During this procedure, a small tube is implanted inside the eye that drains to a reservoir outside of the eye to reduce intraocular pressure.

Trabeculectomy

This procedure is the most tested procedure and still the most commonly performed glaucoma surgery. In this procedure, a small opening is made in the wall of the eye to create a fistula between the front of the eye and an external space, called a bleb (Latin for "blister"). This allows fluid to drain from the eye and decrease the intraocular pressure.


Lasers

TSLT

Titanium-Sapphire Laser Trabeculoplasty (TSLT) opens the trabecular meshwork by targeting specific pigment cells of the eye. In produces a change in the trabecular meshwork without producing clinically observable scarring or other harm to the tissue. Review article about TSLT written by Dr. Reiss

Laser iridotomy:

This procedure is typically completed in the office. A laser is used to create a small opening at the outer edge of the iris. This allows the fluid to move more freely between the chambers of the eye and prevents a sudden buildup in pressure.

Diode Laser

(cyclodestructive procedures): This laser shrinks the fluid-producing glands of the eye to reduce the eye pressure. It is typically reserved for patients with advanced glaucoma or those who have undergone multiple eye surgeries.