Glaucoma Treatments and Surgery

Two laser treatments and one surgery may be recommended at different stages in the treatment of glaucoma: Laser Peripheral Iridotomy (LPI), Argonne Laser Trabeculoplasty (ALT) and glaucoma surgery.

Laser Peripheral Iridotomy (LPI)
This preventative technique is used to preempt the occurrence of a glaucoma attack. During an eye examination, an eye doctor may notice that the angle in the eye appears to be too narrow. A narrow angle tends not to drain properly and can lead to a build up of fluid and pressure, a precursor to glaucoma. In LPI, a laser is used to place a tiny opening in the iris in order to improve drainage. The treatment requires no sutures and is handled on a same day, outpatient basis. The patient is required to use anti-inflammatory eye drops for approximately one week following the treatment. LPI has a very high success rate.

Argonne Laser Trabeculoplasty (ALT)
ALT is used for patients who have already been diagnosed with glaucoma and for whom eye pressure remains too high even after trying treatments with various eye drops. During the treatment, a laser is applied to heat up certain portions of the tissue. This process stretches the pores and opens up the outflow channels for fluid, which decreases eye pressure.

ALT is a same day, outpatient procedure that causes minimal discomfort. A topical anesthetic is administered in the eye prior to the treatment. Then a clear lens is placed on the eye to help focus light. The patient experiences approximately 30 to 40 flashes of light while the laser is applied. The treatment takes about ten minutes per eye and patients usually go home after another hour. Anti-inflammatory eye drops are administered for approximately one week following the treatment. Any reduction in IOP is seen within the first four weeks following the procedure. The success rate for ALT is approximately 75%.

Glaucoma Surgery
When all other treatments fail, glaucoma surgery (filtration) may be called for. The purpose of the surgery is to create a new outflow channel that works in tandem with the existing channels. The resulting increased drainage reduces the pressure in the eye and prevents any further eye deterioration. It is important to understand that glaucoma surgery cannot improve or reverse the damage already done by the disease. Its use is as a preventative measure to limit further damage or worsening of the disease. The surgery has about an 80% success rate.

Glaucoma surgery is handled on an outpatient basis; no overnight hospital stay is needed. The procedure takes less than one hour. A local anesthetic is administered. The surgery does require some sutures, which may need to be removed during recovery. Patients use antibiotic and anti-inflammatory eye drops for several weeks following the procedure. Blurry vision may occur after the surgery but is typically temporary. This surgery is successful for about 2 out of every 3 people who undergo it.

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Our Regular Schedule

Monday:

10:00 am-6:00 pm

Tuesday:

10:00 am-6:00 pm

Wednesday:

10:00 am-6:00 pm

Thursday:

Closed

Friday:

10:00 am-6:00 pm

Saturday:

10:00 am-6:00 pm

Sunday:

10:00 am-2:00 pm

Testimonials

What Our Clients Say About Us

  • "I have been to Visio Eyecare for the past three years and I am very satisfied with this place. Number one perk, they are open on Sunday and getting an appointment is extremely easy! The eye doctor is very nice and helpful; she really listen to what you want and if you say you do not want to spend a dime over what is necessary, she listens and advises you on glasses under your budget; my glasses have always been ready quickly; I will recommend this place to anyone!"
    Lili B.
  • "I had a wonderful experience today. Called and they had me come in immediately for an appointment. Everyone was extremely nice and Dr Au helped me choose my new glasses.
    I will be going back yearly."
    Michael B.
  • "Dr. Au is GREAT! I can't say anything better about her. She makes you comfortable, explains your insurance claims and gets you the best deals within your budget."
    Lauren B.
  • "I never thought I would feel compelled to write a yelp review for an eye doctor but Dr. Au and her receptionist are so awesome that I must! I just moved to the area and had run out of contacts so I just googled the closest eye dr. She has given me multiple lens samples so I can find what best works for me before ordering. I feel so cared for in her office and am so happy I found her."
    Meredith K.
  • "Great service at a very fair price. Skip that chainstore and that place with the fancy waiting room and go here."
    Paul K.
  • "I've worn glasses for about 15 years and this is the most personable interaction I've ever had at an eye center. Dr. Au and the receptionist were sooo sweet and considerate. I came here unintentionally as I was desperate for an appointment and they had an opening the same day. I'm so glad I found this place! Not to mention I was in and out in 30 minutes and they have great COVID precautions!"
    Jaicha V.
  • "Dr. Au and her receptionist are the nicest! They make everything super fast and easy and explain everything very clearly. She referred me to Wills Eye Hospital for additional testing and they were very impressed that she had picked up on a rare issue that I have with my eyes. I highly recommend Dr. Au!"
    Sarah C.
  • "I've been going here for 2 years now. They truly are the hardest working people out there. I always appreciate all their efforts and hospitality. If you're ever in a bind they are always flexible with scheduling and get you in and out fast! Highly recommend this place to anyone searching for an optometrist. The providers and staff are A+!!!!"
    Calvin L.