Full pressure testing and visual field exams
OCT imaging of the optic nerve
Medical treatment, laser therapy or surgery
How it works:
A small flap is created in the sclera (white part of the eye), allowing fluid to drain under the conjunctiva, forming a filtering bleb that reduces pressure.
When it’s used:
Typically recommended for moderate to advanced glaucoma cases where other treatments have failed.
Procedure:
Usually performed under local or general anaesthesia as a day case or short stay.
Benefits:
Can significantly lower IOP, often reducing or eliminating the need for glaucoma medications.
Risks and aftercare:
Close post-operative monitoring to detect and manage complications such as infection, bleeding, or bleb failure. Eye drops and follow-ups are essential.
Preserflo MicroShunt
A small, flexible tube is implanted to create an alternate drainage pathway for aqueous humour, similar in principle to trabeculectomy but less invasive.
Suitable for patients with mild to moderate glaucoma or those who prefer a less invasive option.
Typically performed under local anaesthesia with minimal discomfort.
Shorter recovery time compared to traditional surgery.
OMNI Surgical System
This innovative device combines two techniques—trabeculotomy and canaloplasty—to enhance the eye’s natural drainage pathways.
Targets the trabecular meshwork and Schlemm’s canal to improve fluid outflow.
Performed via a tiny incision inside the eye (ab interno approach), preserving conjunctiva tissue for future procedures if necessary.
Often combined with cataract surgery for patients who require both treatments.
Minimises post-operative inflammation and speeds recovery.
