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Glaucoma Specialist in Buffalo, NY
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What Is Glaucoma?
Glaucoma is a group of eye diseases that progressively damage the optic nerve. Elevated intraocular pressure is an important and treatable risk factor, although glaucoma can also develop or progress when eye pressure is within the statistically normal range. Because early glaucoma frequently causes no noticeable symptoms, regular examinations and appropriate testing are essential.
At Buffalo Ophthalmology, we specialize in diagnosing and treating glaucoma at all stages—with the goal of protecting your vision before damage occurs.
Glaucoma is one of the leading causes of blindness in people over 60, and early diagnosis is critical. Many patients are surprised by their diagnosis, and for good reason:
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 loss from glaucoma is permanent. There is no way to restore sight once it’s gone, making early detection essential.
Why Glaucoma Requires a Specialist
There’s no one-size-fits-all approach to glaucoma. With multiple disease types and a wide range of treatment options, it takes experience to manage them effectively. That’s why working with a glaucoma specialist is so important.
Our glaucoma care is led by Deepan Selvadurai, M.D., a Mayo Clinic–trained, high-volume glaucoma and refractive cataract surgeon with extensive experience in both traditional glaucoma surgery and minimally invasive glaucoma surgery (MIGS). He was an early adopter of MIGS and has performed a large volume of procedures across multiple surgical platforms. His work extends beyond clinical use and includes clinical research, device development, early evaluation of new surgical technologies, and ongoing collaboration to refine existing procedures and develop future glaucoma treatments. This breadth of procedural experience allows him to tailor treatment according to the type and severity of glaucoma, previous procedures, and each patient’s individual needs and goals.
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, personalized care plans focused on preserving your vision
In addition, Ausra Selvadurai, M.D., provides expert support for complex cases involving uveitis, diabetic retinopathy, macular edema, or retinal vascular occlusions.
A fellowship-trained retina specialist from Bascom Palmer Eye Institute, Dr. Selvadurai, brings advanced imaging, intravitreal therapy, and medical retina expertise to our glaucoma team. Her diagnostic precision and collaborative approach help ensure that patients with coexisting conditions receive seamless, specialized care under one roof.
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.
Our glaucoma treatments in Buffalo are focused on lowering eye pressure, improving fluid drainage, and slowing or halting vision loss.
Medicated Eye Drops
Often, the first step for early-stage glaucoma is medicated eye drops. These drops either reduce the eye’s fluid production or improve fluid drainage to lower pressure.
Laser Procedures
Laser treatments are used to enhance drainage and reduce IOP with minimal recovery time.
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Selective Laser Trabeculoplasty (SLT): Stimulates the eye’s natural drainage system.
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Laser Iridotomy: Creates a small opening in the iris to relieve pressure in angle-closure glaucoma.
Trabeculectomy
This surgical procedure creates a new drainage pathway by forming a small flap in the white of the eye (called the sclera). Fluid drains into a small reservoir under the conjunctiva, lowering pressure. In some cases, we may use an EX-PRESS® shunt to increase control and safety.
Shunts, Stents, and Valves
These microscopic devices are implanted to improve fluid drainage in more advanced cases. We use a wide range of options, including:
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Ahmed®, BAERVELDT™, and ClearPath® glaucoma valves
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iStent®, Hydrus® and Alloflo
Minimally Invasive Glaucoma Surgery (MIGS)
Buffalo Ophthalmology was the first in Western New York to offer the OMNI® Surgical System. Dr. Selvadurai was among the first surgeons both nationally and in Western New York to offer the OMNI® Surgical System. OMNI combines canaloplasty, which viscodilates Schlemm’s canal, with trabeculotomy to improve access to the eye’s natural drainage system.
Dr. Selvadurai participated in the early clinical research and development of OMNI and continues to participate actively in the development and refinement of OMNI and other emerging glaucoma surgical technologies. He has extensive, high-volume experience performing OMNI and other MIGS procedures.
This drop-free treatment uses a biodegradable implant to deliver long-lasting medication directly to the eye. It offers sustained IOP control without the need for daily eye drops—an excellent option for patients with medication intolerance or adherence challenges.
Ready to Take Control of Glaucoma?
Glaucoma can’t be reversed—but with early diagnosis and expert care, it can be controlled. At Buffalo Ophthalmology, we combine advanced technology with years of experience to manage this complex disease and protect your sight for the future.