Trabeculectomy

Trabeculectomy is a surgical procedure used in the treatment of glaucoma to relieve intraocular pressure by removing part of the eye’s trabecular meshwork and adjacent structures. It is the most common glaucoma surgery performed and allows drainage of aqueous humor from within the eye to underneath the conjunctiva where it is absorbed by the adjacent structures.

Tube Shunt Surgery

At OCLI, we can use a device known as a shunt or tube shunt to lower intraocular pressure. Tube-shunt surgery involves placing a flexible plastic tube with an attached silicone drainage device in the eye to help drain intraocular fluid or aqueous humor from the eye. This type of surgery can be performed if a trabeculectomy failed, or if a person already has or is likely to form scar tissue in the eye. This type of surgery also may be done at the start.

Minimally Invasive Glaucoma Procedures (MIGS)

i-Stent

i-Stent is a microscopic titanium stent that drains aqueous fluid into the eye’s internal drainage canal (Schlemm’s canal). Pressure within the eye is lowered to prevent further glaucoma-related vision loss.

Many people with glaucoma also suffer from cataracts. Presently, the i-Stent is implanted only during cataract surgery. Cataract surgery is usually a stitch-less procedure, and the stent is implanted through the cataract surgery incision.

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

“Glaucoma is often controlled with eye drops, which can be very burdensome to patients. By using the i-Stent, we have a solution that may reduce a patient’s dependency on glaucoma eye drop medication following cataract surgery.” —Dr. Caronia

Goniotomy

Goniotomy is a surgical procedure in which the doctor uses a lens (goniolens) to see the structures in the front part of the eye (anterior chamber). An opening is made in the trabecular meshwork, the group of tiny canals located in the drainage angle, where fluid leaves the eye lowering intra ocular pressure.

Several methods for performing a goniotomy are performed by our doctors including Trabectome, Kahook dual blade goniotomy, Canaloplasty, and ABIC (Ab Interno Canaloplasty), Trab360, GATT

TrabectomeTM

A trabectome is a device that uses electrocautery to open the trabecular meshwork into Schlemm’s canal (Ab interno trabeculotomy) for management of adult, juvenile, and infantile glaucoma. It may be combined with cataract surgery.

XEN

Inserting this soft microscopic bio-gel stent diverts aqueous fluid from the anterior chamber into the sub-conjunctival space, lowering intraocular pressure. This procedure is indicated for glaucoma where a trabeculectomy or tube shunt may be considered.

It is a stand-alone procedure, or it may be combined with cataract surgery. More than ten thousand of these procedures have been performed worldwide
for refractory glaucoma.

CycloPhotocoagulation (CPC)

CycloPhotocoagulation (ECP) is a laser procedure which targets the fluid producing tissues (ciliary body) of the eye. By selectively treating this structure, intraocular pressure can be reduced. This procedure requires an incision and is usually performed when other surgeries fail.

Trans Scleral CycloPhotocoagulation (TSCPC)

TSCP is performed using a laser probe which targets the fluid producing tissues (ciliary body) inside of the eye. By selectively treating this structure, intraocular pressure can be reduced when other forms of glaucoma surgery are not indicated.

EndoCycloPhotocoagulation (ECP)

ECP is performed using a video camera guided laser probe inside the eye to selectively target the ciliary body. It is usually performed in eyes having cataract surgery or eyes that have previously undergone cataract surgery. Endoscopic CycloPhotocoagulation has proven to be highly effective in reducing or eliminating the need to continue using glaucoma medications in the majority of patients who receive this treatment. Studies have shown that the ECP procedure has a significant success rate with a relatively low complication risk.

Glaucoma screenings are a vital part of good eye health. Talk to your OCLI Vision doctor to learn more.

To schedule an eye examination,
call 1-866-SEE-OCLI (1-866-733-6254) or visit ocli.mdg.co

Glaucoma providers

Cristin D. Subramaniam, MD Cataract Surgeon, Comprehensive Ophthalmologist
John P. Nairn, MD Glaucoma & Laser Cataract Surgeon
Allison B. Gunzburg, MD Comprehensive Ophthalmologist, Laser Cataract and Refractive Surgeon
Bonny Lee, MD Glaucoma & Refractive Cataract Surgeon, Comprehensive Ophthalmologist
Paul Krawitz, MD Glaucoma & Laser Cataract Surgeon
Luis Silva, MD Comprehensive Ophthalmologist & Laser Cataract Surgeon
Brian Moore, OD Optometrist
Adrian N. Crichton, OD Optometrist
Dr. Charles Niles, MD Glaucoma & Laser Cataract Surgeon
Howard J. Kushnick, MD Comprehensive Ophthalmologist & Glaucoma Surgeon
Richard J. Mackool, MD Cataract, Refractive, Cornea and Glaucoma Microsurgery
Glen Weiss, MD Comprehensive Ophthalmologist, Laser Cataract Surgeon
Sahas Narain, MD Cornea, Laser Cataract & Refractive Surgeon
Ashley Russell, OD Optometrist
Adam Botwinick, MD Glaucoma & Laser Cataract Surgeon
Arnold S. Prywes, MD, FACS Glaucoma & Laser Cataract Surgeon
Christopher Holt, OD Optometrist
Valerie Trubnik, MD, FACS Glaucoma & Laser Cataract Surgeon
Vivian Monsanto, MD Ophthalmologist
Joshua A. Paul, MD Glaucoma & Laser Cataract Surgeon
George Grisnik, OD Optometrist
John R. Dailey, MD Ophthalmologist
Marc E. Wietschner, MD, FAAO Comprehensive Ophthalmologist, Medical and Surgical Treatment of Eye Disease
Mary Ann Bonomo Hosey, OD Optometrist
James Thimons, OD, FAAO Optometrist
Nicholas Xanthos, OD Optometrist
David B. Nelson, MD Comprehensive Ophthalmologist
Steven J. Kanoff, MD Comprehensive Ophthalmologist
R. J. Mackool, MD Cataract, Refractive, Cornea and Glaucoma Microsurgery
Daniel D. Hayes, MD Glaucoma & Laser Cataract Surgeon
Allison Angelilli, MD, FACS Glaucoma & Laser Cataract Surgeon
Anzhelika Vaccaro, MD Glaucoma & Laser Cataract Surgeon
David M. Armesto, MD, FACS Cornea, Laser Cataract & Refractive Surgeon
Himakshi Bhatt, OD Optometrist
Todd J. Harvey, MD Ophthalmologist
Brett J. Karlik, MD Comprehensive Ophthalmologist
Rebecca Knorr-Peters, OD Optometrist
Ronald M. Caronia, MD, FACS Glaucoma & Laser Cataract Surgeon
Joseph Berardi, MD Laser Cataract Surgeon
Thomas D'Orazio, MD, PhD Comprehensive Ophthalmologist & Cataract Surgeon
Adam Bloom, MD, FAAO Comprehensive Ophthalmologist & Laser Cataract Surgeon
Dennis Slochower, MD Comprehensive Ophthalmologist
Robert J. Noecker, MD Glaucoma & Laser Cataract Surgeon
John Siliquini, Jr., MD Comprehensive Ophthalmologist, Laser Cataract & Refractive Surgeon
Richard T. Sturm, MD Glaucoma & Laser Cataract Surgeon
Stuart B. Carter, MD Comprehensive Ophthalmologist & Refractive Cataract Surgeon
Tal Ben Ami, MD Medical and Surgical Management of the Retina, Vitreous, and Macula
Marc S. Werner, MD Ophthalmologist
Robert F. Rothman, MD Glaucoma & Laser Cataract Surgeon
Craig H. Marcus, MD Glaucoma & Laser Cataract Surgeon
Ilya Rozenbaum, MD Glaucoma and Laser Cataract Surgery
Kinnari Patel, OD Optometrist
Troy J. Hosey, OD Optometrist

Hear what our patients are saying.

Great office, great doctor. Every employee was very friendly and knowledgeable.

Carolina Monteiro
Since you arrived you will be attended by great staff. They do a complete eye exam. They are very careful with the cleaning of every machine before you use it. You don’t have to wait too long in order to see the doctor who by the way is very clear to explain your condition. He is very professional and polite. I will highly recommend this place. Let me know if you have any questions or need anything else.

Laura Rodriguez
The entire staff is cordial and competent. Appropriate questions are asked and answered. One can feel very confident in the treatment offered.

Merle Price
The staff are very professional and thorough. I have confidence in the doctors.

Alyssa Rebhun
By far, the best group of Drs. in the industry. I have seen 3 of their Drs. and they were all above and beyond!! If you have any eye issues they will greatly help you with their great knowledge and compassion!! Would recommend OCLI over and over again!!

Lainey Ruocco
The whole process was easy from setting up the appointment to checking in to the exam. Great front office staff, technicians, and doctors!

Teresa Lamsam

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Glaucoma surgical options

Trabeculectomy

Tube Shunt Surgery

Minimally Invasive Glaucoma Procedures (MIGS)

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