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Glaucoma Treatment in Western New York
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What Is Glaucoma?
Glaucoma is a group of eye diseases that damage the optic nerve, which carries visual information from the eye to the brain. High eye pressure is an important and treatable risk factor, but glaucoma can also develop or progress when eye pressure falls within a typical range.
Because early glaucoma often causes no noticeable symptoms, regular eye exams and appropriate testing at Buffalo Ophthalmology can help our eye doctor identify changes and determine whether monitoring or treatment is needed.
Glaucoma can lead to permanent vision loss, which makes timely diagnosis and ongoing management important.
Often Has No Symptoms
It’s known as the “silent thief of sight” because it can develop without warning.
It Progresses Gradually
Left untreated, glaucoma steadily worsens and becomes more difficult to manage with each stage.
Can Lead to Permanent Vision Loss
Vision already lost to glaucoma cannot be restored. Treatment focuses on reducing the risk of additional glaucoma-related damage and protecting the vision you still have.
Why Experience Matters in Glaucoma Care
Glaucoma is not a single condition with a single treatment. The type of glaucoma, eye pressure, previous procedures, optic nerve health, and progression of the disease can all influence the care plan.
Glaucoma care at Buffalo Ophthalmology is led by Deepan Selvadurai, M.D., a fellowship-trained and board-certified glaucoma and cataract specialist. Dr. Selvadurai has extensive experience with traditional glaucoma surgery and minimally invasive glaucoma surgery (MIGS). He has also participated in clinical research involving the OMNI® Surgical System and other glaucoma technologies.
This range of experience allows treatment decisions to be based on each patient’s diagnosis, previous care, eye health, and individual needs.
Our glaucoma team offers:
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Fellowship-level expertise in complex glaucoma cases
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Advanced diagnostic testing for early and accurate detection
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Access to the full spectrum of medical, laser, and surgical treatments
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Long-term care plans based on changes in your eye health
How Buffalo Ophthalmology Approaches Glaucoma Treatment
Whether your optometrist has referred you or you are seeking a second opinion, we begin with a comprehensive evaluation. From there, we build a personalized treatment plan based on your diagnosis, lifestyle, and the stage of disease progression.
Glaucoma treatment commonly focuses on lowering eye pressure to reduce the risk of further optic nerve damage. Depending on the type and severity of glaucoma, treatment may include medication, laser procedures, implants, or surgery.
Medicated Eye Drops
Prescription eye drops are commonly used to lower eye pressure. Depending on the medication, they may work by reducing fluid production inside the eye or helping fluid drain more effectively.
Our eye doctor will explain how to use prescribed drops and monitor whether they are providing adequate pressure control.
Laser Procedures
Laser treatment can help lower eye pressure for certain types of glaucoma. The appropriate procedure depends on the way fluid drains from the eye and the type of glaucoma being treated.
- Selective Laser Trabeculoplasty (SLT): Uses laser energy to help improve drainage through the eye’s natural drainage system.
- Laser Iridotomy: Creates a small opening in the iris to improve fluid flow in certain forms of narrow-angle or angle-closure glaucoma.
Trabeculectomy
Trabeculectomy creates a new pathway that allows fluid to drain from inside the eye, helping lower eye pressure. The procedure forms a small drainage area beneath the tissue covering the white part of the eye.
For some patients, an EX-PRESS® device may be used during the procedure. Our glaucoma surgeon will determine whether this type of surgery is appropriate based on your condition and treatment history.
Shunts, Stents, and Valves
Implanted glaucoma devices can help improve fluid drainage and lower eye pressure when appropriate. The practice offers several options, which may include:
- Ahmed® glaucoma valve
- BAERVELDT™ glaucoma implant
- ClearPath® glaucoma drainage device
- XEN® Gel Stent
- iStent®
- Hydrus® Microstent
- Alloflo™
The right device depends on the type and severity of glaucoma, previous procedures, and other individual factors.
Minimally Invasive Glaucoma Surgery (MIGS)
Minimally invasive glaucoma surgery, or MIGS, includes several procedures designed to improve fluid drainage through smaller surgical approaches.
Dr. Selvadurai has extensive experience with MIGS and participated in clinical research involving the OMNI® Surgical System. OMNI combines canaloplasty, which helps open Schlemm’s canal, with trabeculotomy to improve access to the eye’s natural drainage pathway.
The appropriate MIGS procedure depends on the type and stage of glaucoma and may sometimes be performed along with cataract surgery.
DURYSTA® is a biodegradable implant that releases bimatoprost, a medication used to lower eye pressure. For appropriately selected patients, it may reduce the need for daily glaucoma drops over time.
Results and duration vary, and some patients may still require additional glaucoma treatment.
Protect Your Remaining Vision With Ongoing Care in Williamsville & Orchard Park, NY
Glaucoma-related vision loss cannot be reversed, but treatment and regular monitoring can help reduce the risk of further damage. At Buffalo Ophthalmology, our glaucoma team combines advanced testing with medical, laser, and surgical treatment options based on your individual diagnosis.
If you have been diagnosed with glaucoma, have been referred for further evaluation, or would like a second opinion, request an appointment with our glaucoma team serving Western New York.