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Glaucoma Treatment Options

Are you seeking a New Jersey Glaucoma Eye Doctor? Have you bee diagnosed with Glaucoma eye disease? The Witlin Eye Center offers second opinion eye examinations for the diagnosis and treatment of glaucoma. We understand how our glaucoma patients feel when they have been diagnosed and hope we can be there to help. After you have had a thorough glaucoma eye exam we can begin the process of determining your treatment protocol. The first line of therapy typically consists of eye drop medications that are aimed at lowering intraocular pressure (IOP). Dr. Witlin closely monitors the IOP during the medication delivery phases to make sure it is effective. Some of our glaucoma treatment options include:

Eye Drop Medications

Eye Drop MedicationThe glaucoma eye doctors at Witlin Eye Center will use eye drop medications to lower intraocular pressure by either reducing the amount of fluid entering the eye or increasing the amount of fluid exiting the eye. There are several different kinds of glaucoma medications, and each differs in terms of both its ability to lower intraocular pressure and its potential side effects. Laser therapy often is used when medications fail to lower intraocular pressure; it is also used for patients who cannot tolerate medications due to side effects. Recent advances in laser therapy have produced lasers so safe and effective that, for some patients, laser therapy is used instead of medications. If medications and/or laser therapy fail to bring the IOP down to a safe range, surgery is available to lower IOP.

Selective Laser Trabeculoplasty (SLT)

SLT LaserA common laser treatment for glaucoma is called selective laser trabeculoplasty, or SLT. Selective Laser Trabeculoplasty (SLT) is becoming a widely accepted glaucoma treatment option. SLT definitely offers a new horizon of hope for glaucoma patients. By using this NEW laser technology, ophthalmologists can now lower pressure, thus possibly avoiding more invasive surgery. SLT might even reduce the dependence on medications or drops. The surgical process typically involves numbing the eye with topical eye drops so that you will not feel the laser treatment. In SLT, laser treatment is applied to the drain of your eye in order to open it up and let fluid exit the eye more efficiently. SLT treatment takes only a few minutes and effectively lowers eye pressure in most people. The treatment is approved by the Food and Drug Administration (FDA) for treating glaucoma and is covered by essentially all insurance plans. After the procedure, anti-inflammatory drops are used.

iStent

iStent Trabecular Micro-BypassiStent is the first MIGS device that improves your eye’s natural fluid outflow to safely lower eye pressure by creating a permanent opening in the trabecular meshwork.

Proven safe and effective, the iStent Trabecular Micro-Bypass:

  • Is safely implanted during cataract surgery
  • Spares important eye tissue that is often damaged by traditional surgeries
  • Does not limit treatment options that could help maintain your vision in the future.

iStent Up CloseiStent is the smallest medical device ever approved by the FDA. It is placed in your eye during cataract surgery and is so small that you won’t be able to see or feel it after the procedure is over. iStent is designed to create a permanent opening in your trabecular meshwork, and works continuously to improve the outflow of fluid from your eyes to help control eye pressure.

For patients with combined cataract and open-angle glaucoma, iStent reduces introcular pressure (IOP) by improving aqueous humor outflow. Inserted through a 1.5-mm corneal incision, iStent is the only FDA-approved device for the treatment of mild to moderate open-angle glaucoma.

Endoscopic CycloPhotocoagulation (ECP)

Endoscopic CycloPhotocoagulation or ECP, is a promising development for managing various forms of glaucoma. This would include open angle glaucoma and narrow angle glaucoma. ECP allows the glaucoma eye surgeon to see the area through an endoscopic camera, which aids in the very precise placement of the laser beam used for treatment. After inserting a tiny probe laser energy is applied to cells so they stop producing fluid. The result is a lower, healthier pressure within the eye. Many patients who undergo ECP will sometimes no longer need eyedrops or other glaucoma medications after treatment.ECP is often performed at the same time as cataract surgery or on an outpatient basis.