Standard glaucoma surgeries, trabeculectomy and external tube-shunts are major and sometimes necessary surgeries. While they are very often effective at lowering eye pressure and preventing progression of glaucoma, they have a long list of potential complications. Many patients require these procedures and they have been utilized successfully for many years for preventing further vision loss and progression of glaucoma. More recently, the MIGS group of operations have been developed to reduce some of the risk associated with traditional glaucoma surgeries. MIGS procedures work by using microscopic-sized equipment or implants, lasers and tiny incisions. While they reduce the incidence of complications, some degree of effectiveness is also traded for the increased safety.
Many of the MIGS group of operations are new innovations and some have been mainstays of treatment for some time like ECP. At Glaucoma Center of Michigan, we are constantly striving to learn the latest developments and most innovative techniques to help prevent the progression of glaucoma.
- Endocylcophotocoagulation (ECP)
- Goniotomy with Kahook Dual Blade or SION
- Hydrus® Microstent
- iStent® Trabecular Microbypass
- Omni® Surgical System Viscocanalostomy/Trabeculotomy ab-interno
- Aquesys XEN® Microshunt
Multifocal and Advanced Depth of Focus Intraocular Lenses
This is a new type of lens implant used at the time of cataract surgery. Traditional implants focus only at one distance, usually being used for distance, with reading glasses being used for up close. Multifocal Lenses offer a significant advance in that it focuses at all distances (near, intermediate, and distance) with glasses usually not being needed at all. Further information regarding these new and exciting lenses can be found by clicking the following link: Multifocal Lenses.
Toric Intraocular Lenses
This is a new type of lens used at the time of cataract surgery that allows correction of the patient’s astigmatism. This gives the patient the freedom of good vision at distance without the need for glasses or contacts. Further information regarding Toric Lenses can be found by clicking the following link: Toric Lenses.
Laser-Assisted Cataract Surgery
LenSx® laser, a bladeless, computer-controlled laser that allows our surgeons to plan and perform cataract surgery with the most precision, accuracy, and individualized specifications not attainable by other surgical methods.
MicroPulse Diode Laser (MPS Laser)
MicroPulse Diode laser is a minimally invasive, externally applied laser that is done in the operating room setting. It works by decreasing the amount of intraocular fluid (aqueous humor) produced within your eye to lower the eye pressure.
At Glaucoma Center of Michigan we have the most up to date SLT lasers to perform this longstanding minimally invasive in-office procedure to help reduce the eye pressure for the treatment of open angle glaucoma. Further information regarding SLT can be found by clicking the following link: SLT Laser Information.
This is an improved technique for anesthesia at the time of cataract surgery. This avoids the bruising which can occur with older anesthesia techniques, as well as allowing vision without a patch the same day as surgery.
This allows computerized analysis of the optic nerve, permitting earlier diagnosis of glaucoma. It also helps to detect any changes in the health of the optic nerve. Further information regarding OCT can be found by clicking on the following link: OCT Information.