There are three main methods that Dr. Scott Buck can use to treat glaucoma including medical, laser and surgical treatment of glaucoma.
Medical Treatment of Glaucoma
Primary Open Angle Glaucoma is at first most often treated with eye drops. By using one or two types of glaucoma eye drops most patients are able to achieve a stable and lowered eye pressure. Some patients are unable to achieve adequate control with eye drops alone, or may experience intolerable side effects from the eye drops, and do better with an in office glaucoma laser treatment to maintain control.
Laser Treatment of Glaucoma
Selective Laser Trabeculoplasty (SLT) is a type of glaucoma laser treatment that helps to reduce the Intraocular Pressure (IOP) by creating more effective drainage of fluid through the trabecular meshwork. We perform this painless procedure in the comfort of our office and often patients are able to obtain good stability but also reduce the number or frequency of eye drop instillation.
Surgical Treatment of Glaucoma
For some patients even with the maximum eye drop medical therapy and glaucoma laser treatment it is still not possible to achieve good stable control of their disease and stop the progression of vision loss. For these patients glaucoma surgery may be an option and can include removing a tiny piece of the trabecular meshwork, or even implanting microscopic tubes, shunts, valves or stents to help reduce and stabilize the Intraocular Pressure (IOP) and prevent vision loss.
iStent® for Glaucoma
Cataract patients with glaucoma have an additional treatment option called the iStent® Trabecular Micro-Bypass Stent. During your cataract surgery, Scott Buck, M.D. can implant this microscopic device as a treatment option to reduce eye pressure for cataract patients with glaucoma. With iStent® many patients will need to use fewer eye drops for their glaucoma treatment and might not need to use prescription eye drops at all.
The iStent® is FDA-approved for use in conjunction with cataract surgery to reduce eye pressure in adult patients with mild-to moderate open-angle glaucoma currently being treated with glaucoma medicine. In clinical trials, iStent® has been shown to safely reduce eye pressure, which is the primary cause of open-angle glaucoma.