Koch Eye Associates

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Glaucoma Treatment Options



Once the diagnosis of glaucoma is established or suspected, multiple treatment methods are available to patients. Since intraocular pressure is proven to cause optic nerve damage, pressure is the one aspect of the eye that the eye physician can treat. It is important that glaucoma is diagnosed early, so that our doctors at Koch Eye can prevent vision loss. Once vision loss has happened, there is no way to get it back, but our doctors can stop further vision loss. Our practice offers many different treatments to our glaucoma patients, so you can be sure that you will have the procedure that is best for you.


Many different classes of topical eye drops are available to lower intraocular pressure, including prostaglandins, beta blockers, alpha agonists, carbonic anhydrase inhibitors and cholinergic agents. After reviewing your history, your doctor will discuss which class would be best for you.


Open-Angle Glaucoma:

Laser treatment to the trabecular meshwork is another early therapeutic option in open-angle glaucoma. Selective Laser Trabeculoplasty (SLT) opens the blocked drainage channels in the trabecular meshwork, thereby facilitating fluid outflow from the eye. This two minute procedure is painless and can be done in the exam chair at the slit lamp.

Narrow-Angle Glaucoma:

Laser Peripheral Iridotomy is the treatment for narrow-angle glaucoma. This treatment allows the surgeon to make a small opening in the iris so that the fluid in the eye can drain. Like SLT this is a one or two minute procedure that can be done in the exam chair at the slit lamp.


If laser or eye drops are not sufficient in controlling pressure, oral medications can be prescribed. In more advanced cases, surgical procedures can help drain fluid from the eye or decrease the amount of fluid produced. These include:

Endoscopic Cyclophotocoagulation (ECP) allows the laser surgeon to view the ciliary body through an endoscopic camera and apply the laser energy to treat the ciliary body so it reduces or stops the production of fluid.

Trabeculectomy is a method of surgery where a small section of the trabecular meshwork is removed, allowing the aqueous to drain more easily.

Koch Eye also provides the following procedures to our glaucoma patients:

  • Medical Glaucoma Therapy
  • Laser Glaucoma Therapy
  • Selective Laser Trabeculoplasty
  • EndoCycloPhotocoagulation
  • Laser Iridotomy
  • Surgical Glaucoma Therapy
  • Canaloplasty
  • Trabeculoplasty


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The Greater New Bedford Surgical and Laser Center

The Greater New Bedford Surgical and Laser Center was opened in 1986 with the express purpose of rendering high quality, state of the art eye surgery to patients of all ages, especially those with cataracts, glaucoma, or cornea disease. The Center is designed specifically with the needs of the patient in mind. The entire process from initial examination to final outcome is conducted in a pleasant comfortable environment.

After a patient decides to have surgery, he or she is assigned his or her own Surgical Counselor who is available to answer questions and provide assistance. These individuals are specially trained to assist the patient throughout the entire surgical experience, including follow up care for as long as necessary. Patients are encouraged to contact their counselor for any questions, no matter how simple or complex.