The follow-up appointments will assess how well you are healing from the surgery as well as how well you are responding to the treatment. h��W�n7�>&(����[b Nǭ|�X[gY2�M�}�W�|i����,9�9g�F%/�0*��Q�D}��%MF�6��E�. Hydrus is a micro-stent, which means it is an implant that is placed in the eye essentially as a spacer for your natural fluid drainage channels. Schedule an appointment at Fichte, Endl & Elmer Eyecare in Buffalo, NY! Once your optic nerve suffers damage, the goal of treatment is maintaining your eye health and preventing further damage. The Hydrus Microstent is an excellent option for keeping your eyes healthy without needing to use eye drops. This micro-stent surgery generally takes about 30 minutes to complete for most patients. For one thing, this is a minimally invasive treatment that does not have the same risks as traditional surgery, meaning it is safer for you overall. The Hydrus Microstent has a trimodal mechanism of action, bypassing the trabecular meshwork, dilating the canal, and scaffolding it open (Figure 3). For another, the micro-stent does not need to be replaced at any time after surgery, making it preferable to other glaucoma surgeries that may require follow-up. Both of these medications will be allowed time to be absorbed before further treatment steps are taken. This bypass helps reduce the fluid build up and lower the pressure. 2 • A study involving trabeculotomy using the TRAB 360 device found that medication use was reduced from 1.7 to 1.1 at 12 months, a 35-percent reduction. The FDA approved the Hydrus Microstent in 2018. In fact, it is very common to combine glaucoma and cataract surgery into one procedure especially if both conditions are happening at the same time. Therefore, caution is indicated in eyes with evidence of corneal compromise (e.g., Fuch’s dystrophy, corneal guttae or low endothelial cell density) or with risk factors for corneal The Hydrus Microstent is approximately the size of an eyelash – small enough that it is typically never felt or seen by patients. The theoretical basis behind this treatment is to give the natural shape of your eye more room to drain eye fluid, which will resolve the issue of fluid building up and causing pressure to be placed on the optic nerves and damaging the eye. You will need to arrange for transportation after your surgery and for time off during your recovery period. Yes. Fortunately, this micro-stent greatly reduces the risk of complication or failure in future glaucoma surgeries as it does not require conjunctival tissues to be opened for treatment. What Is Glaucoma? You will also complete several pre-operative exams. 0
Depending on the severity of your glaucoma, it may be beneficial to try medication before surgery to see if a biologic intervention is enough to slow the progression of the disease. 3195 0 obj
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The incision is just large enough for the micro-stent to be placed and installed into the Schlemm’s canal, which will dilate the canal and allow for a better aqueous flow, or a faster flow of fluid in the eye. Glaucoma is the second most common cause of blindness in America and has many symptoms associated with it, including: Glaucoma is caused by damage to the optic nerve when normal eye fluid is not able to release itself, which builds pressure on the eye and interferes with normal vision, including visual perception. The majority of patients that had the Hydrus Microstent implanted had a significant decrease in their intraocular (eye) pressure. CyPass is a 6.35 mm long fenestrated microstent made of biocompatible polyimide inserted into the supraciliary space, thus using an The Hydrus Microstent is about the size of an eyelash and works to reduce the eye pressure when placed in the eye. canal using a pre-loaded auto-injection trocar. Cataract surgery involves the excision and extraction of cataracts from the eye and usually means that the natural lens needs to be replaced with an artificial lens. The stent is made of inactive titanium and will allow fluid to leave your eye. Making sure that your eye pressure stays low is important for maintaining your eye’s health, especially if you have glaucoma. • Another study found that implanting a Hydrus microstent reduced the mean number of medications from 1.7 to 0.3, an 82.4-percent reduction. An effective treatment option for reducing eye pressure is having the Hydrus Microstent implanted. The Hydrus microstent is designed for minimally invasive microsurgical procedures to reduce eye pressure in patients with glaucoma. There are two main kinds of glaucoma, “open-angle” and “closed-angle.” Open-angle glaucoma progresses slowly. The Hydrus Microstent is a revolutionary new therapy used during cataract surgery to help manage your glaucoma. 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