Modern Glaucoma Treatments
Glaucoma treatment has evolved from a “drops-first” approach. Today, many specialists begin with in-office laser and small-incision procedures that safely reduce eye pressure and simplify daily routines.
Why we often start with SLT
Selective laser trabeculoplasty (SLT) targets the eye’s natural drainage tissue so fluid leaves more efficiently, lowering intraocular pressure without adding more bottles to your countertop. SLT has a strong safety profile, can be repeated if pressure rises, and often lets patients decrease—or even stop—pressure-lowering drops. Because SLT is a medical procedure, it’s typically billed to medical insurance rather than vision plans. Coverage varies; our team will help verify your benefits beforehand.
SLT visit: quick facts
- Procedure time is usually 5–10 minutes per eye.
- Numbing drops only—no injections.
- Most patients return to normal activities the same day.
- Pressure changes are typically seen over days to a few weeks.
- Benefits often last years and can be repeated later if needed.
What is the appointment like?
You’ll sit at a slit-lamp (the same type of microscope used in routine eye exams). After numbing drops, a small contact lens guides the laser to the drainage tissue. Temporary blurred vision for a few hours is common. We’ll arrange follow-up pressure checks to track your response.
Who might be a good candidate?
SLT is commonly recommended for open-angle glaucoma and ocular hypertension. It’s a practical option for people seeking reliable pressure control with less day-to-day maintenance.
Watch SLT in action
See how SLT works and what to expect during treatment.
When additional pressure-lowering is needed
If SLT alone doesn’t reach your target pressure—or if you’re already planning cataract surgery—minimally invasive glaucoma surgery (MIGS) can be added. These small-incision procedures enhance the eye’s natural outflow or create a gentle new pathway for fluid to exit, aiming for steady pressure control with faster recovery than traditional surgery.
More ways to lower eye pressure
These small-incision options may be added if you need greater pressure reduction or are having cataract surgery:
- Tiny stents are used to help keep the drainage pathway open so fluid exits more easily.
- Brief removal (trimming) of clogged filter tissue inside the eye to reduce blockage.
- Gentle cleaning and widening of the main drainage channel to restore flow.
- For eyes needing a larger pressure drop, a very small surface shunt that routes fluid to a safe reservoir.
A plan tailored to you
We customize recommendations based on your diagnosis, disease stage, target pressure, and whether cataract surgery is part of your care. The goal is always the same: protect vision while minimizing the burden on your daily life.
Next step
If you have glaucoma or elevated eye pressure, SLT may be a safe and effective first step. Call Katzen Eye Group to schedule your examination and discuss the best plan for you.
