Glaucoma Program

Drainage Devices

There are many surgeries that address elevated intraocular pressure and some may be a better option
than others depending on each individual patient. In situations where glaucoma has progressed to a
more severe stage, a drainage device such as a tube shunt may be utilized. Made of a biomedical
material, a tube shunt is implanted into the eye to assist with the drainage of aqueous fluids without
having to utilize the natural drainage system in the eye.

Endoscopic Cyclophotocoagulation (ECP)

Glaucoma is often treated by targeting the natural drainage system of the eye but addressing the
amount of fluid produced inside the eye is another viable treatment option. For patients who have
previously had cataract surgery or are about to undergo cataract surgery, endoscopic
cyclophotocoagulation (ECP) may be an effective treatment for glaucoma. This laser procedure reduces
the amount of fluid that the ciliary body produces inside of the eye, effectively reducing the intraocular
pressure. ECP is often performed during cataract surgery or alongside other MIGS procedures.


At Vance Thompson Vision, we take great care to select the treatment that best suits each individual
patient. Minimally invasive glaucoma surgery, known as MIGS, has changed the way that
ophthalmologists can help manage glaucoma. The multiple MIGS procedures that are available offer
safe and effective ways to better control glaucoma. These procedures help to lower intraocular pressure
by opening or bypassing the natural drainage system of the eye known as the trabecular meshwork.
MIGS are often performed during cataract surgery but can also be performed as a stand-alone

Selective Laser Trabeculoplasty

Selective Laser Trabeculoplasty is quickly growing in popularity as a first line treatment for glaucoma.
SLT is a repeatable laser surgery that results in better drainage of the fluid inside the eye. SLT is an

excellent option for a variety of patients with even the mildest glaucoma. This includes patients who
struggle with remembering to take their eye drops, patients who have significant side effects from their
eye drops, and even patients who have never taken eye drops before.