Glaucoma care has expanded well beyond daily eye drops. Laser therapy, sustained drug delivery, and minimally invasive procedures now give us more ways to lower intraocular pressure and ease the burden of daily medication for the right patients. At Independent Vision Group, we offer several of these treatments to complement the ongoing care patients already receive from their primary optometrist.

Selective Laser Trabeculoplasty (SLT)

An in-office laser treatment that improves fluid outflow to lower eye pressure. It doesn’t require an incision and can be repeated for the right patients, and is often considered early in treatment or when topical medications aren’t working well.

iDose TR

A small implant placed during a brief procedure that continuously releases medication inside the eye, reducing reliance on daily eye drops for patients with open-angle glaucoma or ocular hypertension.

DURYSTA

A biodegradable implant that gradually releases medication to lower eye pressure, another way to reduce daily drop dependence in selected patients.

STREAMLINE Canaloplasty

An implant-free procedure that improves the eye’s natural drainage system. It’s often paired with cataract surgery for patients with mild to moderate open-angle glaucoma.

KDB Goniotomy

A minimally invasive procedure that removes a small portion of tissue to improve fluid outflow. It can be performed alone or alongside cataract surgery.

When interventional treatment may help:

• Eye pressure remains above target
• Testing shows the disease is progressing
• Daily medication is hard to keep up with
• Side effects are limiting how well drops work
• The patient is also preparing for cataract surgery
• Additional pressure control is needed without adding another drop

Optometrists remain central to long-term glaucoma management, and many patients do well within their primary eye care practice. When it’s time to consider additional options, our team at IVG can help evaluate whether one of these treatments fits into a patient’s overall plan.