Glaucoma Associates of Texas

Glaucoma Eye Doctor, Specialty Ophthalmologists

Dallas214-360-0000 • Plano972-612-9522 • Fort Worth817-923-2000
Rockwall469-769-1606 • Sherman214-360-0000
Southlake 214-360-0000

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  • Home
  • About Us
    • Michelle R. Butler, MD
    • Lauren S. Dhar, MD
    • Matthew E. Emanuel, MD
    • Ronald L. Fellman, MD
    • David G. Godfrey, MD
    • Davinder S. Grover, MD MPH
    • Helen L. Kornmann, MD, PhD
    • Oluwatosin U. Smith, MD
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    • Nerve Fiber Analysis
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      • Types of Glaucoma Lasers
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  • Glaucoma Surgery
    • Types of Glaucoma Surgery
    • Canaloplasty Glaucoma Surgery
    • Endocyclophotocoagulation (ECP)
    • GATT Procedure
    • Glaucoma Drainage Implant Surgery
    • Glaucoma Filtration Surgery (Trabeculectomy)
    • Hydrus® Microstent
    • iStent® Trabecular Micro-bypass
    • Trabectome® Minimally-invasive Glaucoma Surgery
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    • Cataract Surgery
    • Cataract Surgery and Glaucoma
  • Research

Incisional Glaucoma Surgery

 Improving the drainage of aqueousTraditional incisional surgical treatment for glacoma is recommended after attempts with medications or lasers are unsuccessful  If medical therapy for glaucoma is ineffective at halting the ongoing damage to the optic nerve and loss of vision, your eye doctor may recommend glaucoma surgery. There are many different types of surgery for glaucoma. Each one of them is performed in order to lower intraocular pressure. By lowering intraocular pressure, it is hoped that optic nerve damage and loss of vision can be halted. Surgery for glaucoma is performed in an ambulatory surgery center.

Surgical Treatment for Glaucoma

  • Hydrus® Microstent is a minimally invasive FDA-approved implantable device for the treatment of open angle glaucoma. The Hydrus® is a Micro-Invasive Glaucoma Surgery (MIGS) approved to be done in conjunction with cataract surgery. 
  • Canaloplasty Glaucoma Surgery
  • Cataract Surgery and Glaucoma  
  • Endocyclophotocoagulation (ECP)
  • GATT (Gonioscopy-Assisted Transluminal Trabeculotomy)
  • Glaucoma Drainage Implant Surgery
  • Glaucoma Filtration Surgery (Trabeculectomy)
  • iStent® Trabecular Micro-bypass
  • Trabectome® Minimally-invasive Glaucoma Surgery 

Two goals of Incisional Glaucoma Surgery

This usually involves surgery in an operating room facility. All glaucoma surgeries are day surgeries performed in an ambulatory surgery center. During the surgery, your ophthalmologist makes tiny cuts, also known as incisions, into the outer or inner layers of the eye with a tiny knife while looking through a microscope. It involves plenty of tiny sutures to keep the tissues of your eye together. It is not uncommon to feel these sutures in the early post-operative period.

You will meet with a preoperative scheduling nurse prior to your surgery, who will provide you with detailed instructions on how to prepare yourself for your upcoming eye surgery. You will need to report at your allocated time to the surgery center. You are not to eat or drink anything after midnight prior to the day of your surgery. You can take your regular pills with a limited amount of water (not juice or milk) the morning of surgery.

The goal of incisional glaucoma surgery is to improve drainage of intraocular fluid (aqueous humor). This can be accomplished in two ways:

1. Improving the drainage of aqueous into its natural physiological pathway. This involves finding and working in Schlemm’s canal (Canaloplasty, Trabectome®)

2. Creating a bypass channel, for fluid to flow from within the eye to pass unimpeded into the outer layers of the eye, Aqueous bypasses trabecular meshwork( the tiny drain within the eye) which is impaired in glaucoma. The new bypass channel can be created using natural tissues of the eye (Trabeculectomy,Express® glaucoma mini shunt) or by using a silicone tube implant Glaucoma Drainage Implants.

Sometimes your doctor may suggest combining these surgeries with Cataract Surgery to help improve your vision. Occasionally cataract surgery alone may be recommended for treatment of your glaucoma. Whenever cataract surgery is performed, a replacement intraocular lens implant (IOL) is always placed within your eye at the time of surgery. Currently there is a choice of intraocular lens implants available and your doctor will help pick the right IOL for you based upon the measurements of your eye, your visual needs and your stage of glaucoma. The intraocular lens implants available are Multifocal lens implants, Toric lens implants and Monofocal lens implants. Feel free to discuss these lens options with your doctor or technicians during your appointment or after to see if you are a candidate for one of these implants.

Your doctor will discuss your surgical options with you and recommend the appropriate procedure at the time of your appointment. When successful, these procedures lower intraocular pressure and preserve vision.

Please contact the Glaucoma Associates of Texas if you have questions about the treament for glaucoma.

Sherman Office Now Open

Glaucoma Associates of Texas (GAT) would like to welcome you to our new GAT Sherman Office located in Sherman, Texas. We are excited to announce that this is our fifth office in the Dallas-Fort Worth metropolitan area. Our goal is to bring glaucoma specialists closer to your area.

Our Mission

Glaucoma Associates of Texas, Dallas, Plano, Fort Worth and Rockwall

The doctors at Glaucoma Associates of Texas (GAT) are ophthalmologists specializing in the medical, laser, and surgical treatment of glaucoma and cataracts. Each of our physicians has completed a clinical glaucoma fellowship, gaining extensive … Glaucoma Specialists

Our Video Gallery

GATT (Gonioscopy Assisted Transluminal Trabeculectomy)

Welcome to the Glaucoma Photo Gallery and Video Gallery for Glaucoma Associates of Texas! Glaucoma Video Gallery In our first video, Dr. Davinder Grover is interviewed by Cheryl Guttman Krader of Ophthalmology Times. The article about GATT … Video Gallery

Our Charity – Cure Glaucoma

cure glaucoma fund

Glaucoma Associates of Texas   Cure Glaucoma, a charitable foundation, was established in 2014 by ophthalmologists at Glaucoma Associates of … Cure Glaucoma

Archives

Latest GAT News

What’s the Right Surgery for You?

December 10, 2017 By Matthew Emanuel, MD

Click Here to watch Dr. Davinder Grover discuss how glaucoma-trained … [Read More...]

Make the Most of Your Visit

December 2, 2017 By Matthew Emanuel, MD

Click Here to see Dr. Tosin Smith's recent interview on 7 Ways to Make the … [Read More...]

Living With Glaucoma

  • Living with and Managing Glaucoma
  • Low Vision Due to Glaucoma
  • Light Sensitivity and Glare with Glaucoma
  • Nutrition, Lifestyle, and Glaucoma
  • Exercise and Glaucoma
  • Cure Glaucoma Charity

GAT Dallas Office

GAT Plano Office

GAT Fort Worth Office

GAT Rockwall Office

GAT Sherman Office

GAT Southlake Office

5 Office Locations

Dallas Office 214-360-0000
10740 N Central Expressway, Suite 300
Dallas, Texas 75231

Plano Office 972-612-9522
6000 W.Spring Creek Pkwy, Suite 110
Plano, TX 75024

Fort Worth Office 817-923-2000
417 W Magnolia Avenue
Fort Worth, Texas 76104

Rockwall Office 469-769-1606
810 Rockwall Pkwy, #1010
Rockwall, Texas 75032

Sherman Office 214-360-0000
715 E. Taylor Street
Taylor Plaza, Suite 100
Sherman, TX 75090

Southlake Office 214-360-0000
305 Morrison Park Drive
Southlake, Texas 76092

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