Glaucoma

Glaucoma Surgery

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.

Common surgeries include:

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 (SLT) – 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.

To learn more about our Ophthalmology and Eye Care Services, please call us at the office closest to you for an appointment!: Simi Valley - 805.527.6720;
Agoura Hills - 818.889.2020; Thousand Oaks - 805.497.3744