Skip to main menu Skip to main content Skip to footer

Interventional Glaucoma

Interventional Glaucoma

Get ahead of glaucoma with treatments that protect your vision and lighten the load of daily eye drops.

Glaucoma treatment has come a long way, and North Georgia Eye Associates is proud to bring that progress to patients throughout North Georgia. Interventional glaucoma is built on the proactive concept of treating early, before the disease has a chance to take more of your sight. By pairing advanced in-office laser treatments, minimally invasive surgery, and medication that works from inside the eye, our physicians can bring eye pressure under control sooner, ease the burden of daily drops, and help safeguard your vision for the long run.

Depending on the treatment plan we create together, interventional glaucoma may offer:

  • Fewer daily eye drops, or none at all
  • Steadier eye pressure for your day to day
  • Freedom from the cycle of refills, reminders, and missed doses
  • Earlier optic nerve protection
Schedule an appointment

What Is Interventional Glaucoma?

For decades, glaucoma care started with one eye drop, added more as the years went by, and surgery was only considered once the disease had advanced. Drops still have an important place in treatment, and many patients do well with them. What has changed is the timing. Interventional glaucoma brings proven, durable treatments into the picture sooner, so we stay a step ahead of the disease instead of responding after damage has occurred.

Interventional glaucoma is a specific approach to glaucoma care, rather than one treatment. It favors gentle, early procedures and long-lasting medication delivery instead of a drop routine that never ends. It is based on the idea that lowering eye pressure early and keeping it stable gives patients the best chance of preserving their vision over a lifetime.

The Problem With a Lifetime of Drops

Eye drops are the starting point for most glaucoma patients, and they are very effective at lowering pressure. The challenge is usually centered around the excess effort it takes to use that medication perfectly, every day, for years.

Ongoing Costs: Prescription refills and copays add up month after month, and over many years of treatment the total can be far higher than patients expect.

Side Effects: Drops can cause burning, redness, dryness, or temporary blurry vision. With long-term use, some can also change the appearance of the eyelids, lashes, or the skin around the eyes.

Keeping Up Every Day: Glaucoma drops only work when they're used exactly as prescribed, often once or more each day for life. Hectic schedules, multiple bottles, travel, forgetfulness, and trouble getting the drop into the eye all lead to more missed doses than most people realize.

Missing Doses: Skipping drops lets eye pressure climb, even if only for a short time. Those spikes can quietly damage the optic nerve, and glaucoma rarely causes symptoms that would alert you to the problem.

Drops are still the right choice for many. But when they become difficult to manage, no longer control pressure, or simply don't fit your lifestyle, interventional glaucoma treatment gives you another path forward.

Treatment Options at North Georgia Eye Associates

Our Interventional Glaucoma Treatments

Modern Solutions for Lasting Pressure Control

The right treatment, or combination of treatments, depends on your eyes, the stage of your glaucoma, and your goals for care. At North Georgia Eye Associates, we offer a range of interventional glaucoma treatments, including several minimally invasive glaucoma surgery (MIGS) options.

Selective Laser Trabeculoplasty (SLT)

SLT uses gentle, low-energy laser light to target specific pigmented cells in the trabecular meshwork, the eye's main drainage tissue. This prompts the body's natural healing response, helping fluid drain more efficiently and lowering eye pressure. There are no incisions or implants, and the surrounding tissue stays intact, so SLT is a repeatable treatment if needed.

iDose TR

iDose TR is a tiny implant placed inside the eye that continuously releases travoprost, a proven glaucoma medication. Because the medication is delivered steadily from within, there's no need to remember a daily drop to keep pressure in check. Many patients can cut back on their drops significantly, and some stop using them altogether.

Durysta

Durysta replaces a daily drop with a dissolvable implant that's smaller than a grain of rice. During a quick office visit, your physician places it inside the eye, where it gradually releases bimatoprost to help fluid drain and reduce pressure. The implant breaks down naturally over time, while its pressure-lowering effect can last for many months, and even longer for some patients. It's an appealing option for anyone who would rather not depend on a drop bottle.

Goniotomy

Goniotomy is a minimally invasive procedure that removes a small strip of the trabecular meshwork, the tissue that can become blocked and keep fluid from draining properly. Through a tiny incision, your surgeon uses a specialized instrument to open a direct path into the eye’s natural drainage canal, helping fluid flow out more freely and lowering eye pressure. Because it works with the eye’s own drainage system rather than adding a device, goniotomy offers an implant-free way to restore healthier fluid flow to lower eye pressure.

iStent infinite

The iStent Infinite system places three microscopic stents into the eye's drainage system, creating multiple new pathways for fluid to exit the eye. More open channels mean better drainage and lower pressure. These stents are among the smallest medical devices ever implanted in the body, and you won't see or feel them once they're in place. The iStent Infinite can be performed as a standalone procedure, making it an option for patients who aren't having cataract surgery.

Hydrus Microstent

About the size of an eyelash, the Hydrus Microstent is placed inside Schlemm's canal, which is part of the eye's natural drainage channel. Once in position, it gently holds the canal open like a scaffold, allowing fluid to flow out more freely across a wide section of the drainage system.

ELIOS Procedure (FDA approval expected soon)

The ELIOS procedure uses a precise excimer laser to create tiny openings in the trabecular meshwork, giving fluid a direct route into the eye's natural drainage canal. Because the laser creates these channels without heat damage to the surrounding tissue, and nothing is left behind in the eye, ELIOS is both gentle and implant-free.

Diode Micropulse Laser

Diode micropulse laser is a non-incisional laser treatment that lowers eye pressure by treating the ciliary body, the area of the eye that produces fluid and helps regulate how it drains. The laser is applied from the outside of the eye in short, rapid pulses with brief pauses in between, which allows the tissue to stay cool and helps protect surrounding structures. There are no incisions, and the treatment can be repeated if needed.

Are You a Candidate for Interventional Glaucoma Treatment?

Interventional glaucoma treatment may be a good fit if:

  • You have mild to moderate glaucoma
  • You find it hard to use eye drops consistently
  • Your drops cause side effects that bother you
  • You'd like to reduce or eliminate the need for medication
  • You're planning cataract surgery and want to treat both conditions together
  • You want to take an active role in protecting your vision for the future

The best way to know for sure is a complete glaucoma evaluation with one of our eye doctors. After examining your eyes, we'll walk you through your options in clear, simple terms and recommend the plan that best fits your eyes, your lifestyle, and your goals.

Meet Your Glaucoma Specialists

Our experienced physicians partner with you at every step, from your first glaucoma evaluation through treatment and long-term monitoring.

Frequently Asked Questions

Will I still need eye drops after treatment?

It depends on your eyes and the type of glaucoma you have. Some patients no longer need drops at all, while others need fewer than before. Glaucoma is a lifelong condition, so regular follow-up visits remain essential to ensuring pressure stays on target.

What makes interventional glaucoma different from traditional treatment?

Traditional care usually adds more drops over time and saves procedures for later stages. Interventional glaucoma uses laser treatment, sustained-release medication, and MIGS, which can lead to steadier pressure control, less dependence on daily drops, and earlier protection for the optic nerve.

Are these procedures safe?

Interventional glaucoma treatments are designed to be minimally invasive and have strong safety records. Many are performed in the office or during cataract surgery, and recovery is typically quick. As with any medical procedure, there are some risks, and your eye doctor will review them with you before you decide on treatment.

Can glaucoma treatment be done at the same time as cataract surgery?

Yes. Procedures such as the Hydrus Microstent and ELIOS are performed during cataract surgery, allowing you to treat both conditions with a single procedure and one recovery period. If you're planning cataract surgery, ask your doctor whether a combined approach makes sense for you.

A Better Approach to Glaucoma Care

Glaucoma is a lifelong condition, but it doesn't have to take over your life.

When it's treated early and proactively, our team can bring your pressure under control before the disease progresses, help preserve more of your vision, and build a treatment plan that works with your daily routine rather than against it.

North Georgia Eye Associates is proud to offer patients in Gainesville, Braselton, Clayton, Cornelia, Hamilton Mill, Cumming, and the surrounding communities a modern approach to glaucoma care.

Get Started — Schedule your glaucoma evaluation at North Georgia Eye Associates today!

Get Started

Schedule an appointment at North Georgia Eye Associates today!
Request an Appointment
(770) 752-1553
Patient Portal
Online Bill Pay
Referring Doctor Center
⇧