The most common form of treatment for Glaucoma is medications that can safely be used to control it over a period of time. However, for uncontrolled or more advanced glaucoma, surgery is often the best treatment modality. Modern glaucoma surgery, including lasers, can be very successful in controlling the disease for many patients. Glaucoma surgery can also be combined with cataract surgery, all done at the same time in one procedure.
Ex-Press Mini Glaucoma Shunt
One of the latest advanced surgical procedures is Ex-Press Mini Glaucoma Shunt implantation. The Ex-Press Mini Glaucoma Shunt is a device that is available as an alternate to traditional glaucoma filtering (Trabeculectomy) surgery.
It is advantageous to both the patient and the doctor because it allows the doctor to provide the patient with a reduction of pressure and a reduction of medications required after the procedure. The doctor can perform this procedure more simply and without the extra tissue manipulation required with the traditional filtering procedure.
The patient’s post operative recovery is improved as there is less inflammation after the operation. The Express Mini – Shunt procedure is available alone or concurrent with cataract extraction. This advanced Glaucoma surgery is routinely performed by Dr. Pappas since 2007.
Canaloplasty is a procedure that is can be an alternative to traditional Glaucoma surgery and has recently come to the forefront. The Canaloplasty procedure is available alone or concurrent with cataract extraction to reduce eye pressure and the number of glaucoma medications used by patients. It is a non-penetrating surgical procedure that does not require the creation of a fistula and does not result in a “bleb”. Insertion of a microcathether using the outflow system of the eye and suture tension within this system controls pressure.
Dr. Pappas is one of few in the USA, the first one in Florida and only one in Brevard County to have performed hundreds of procedures since 2008 of this advanced glaucoma surgery.
Due to the excellent results with this procedure, in 2009 Dr. Pappas and the Pinnacle Eye Center were instrumental in getting CMS to approve this procedure for Medicare patients in Florida.
iStent & iStent Inject
The iStent Trabecular Micro-Bypass Stent (Models GTS100R and GTS100L) is indicated for use in conjunction with cataract surgery for the reduction of intraocular pressure (IOP) in adult patients with mild to moderate open-angle glaucoma currently treated with ocular hypotensive medication.
GATT, Gonioscopy-Assisted Transluminal Trabeculotomy
A minimally invasive -no device implanted – alternative to traditional glaucoma surgery for the management of open angle glaucoma.
Xen Gel Stent & Hydrus Microstent
Proud to be the first in our area to bring you two new minimally invasive Glaucoma surgeries, the Xen Gel Stent and Hydrus Microstent