LaserVision

Treatment at a glance

10 minutes

Local anaesthetic

None

Permanent

Quick and straightforward

Most of the restriction to fluid drainage from the eye rests in the trabecular meshwork.

Several operations have been devised using tiny equipment and devices to cut through the trabecular meshwork without damaging any other tissues in the ocular drainage pathway.

A person’s visual system is similar to a digital video camera. The eye (camera) connects to the brain (computer) via an optic nerve (USB cable), and all 3 parts need to function for us to see. Glaucoma is a condition of the eye where the optic nerve becomes slowly damaged. If left untreated, this can then lead to some loss of vision, initially peripherally and then central.

You may not know that you have glaucoma until you have lost a lot of your sight, as there are usually no known early warning symptoms.

There are various treatment options but unfortunately vision that has already been lost cannot be restored. The aim of treatment is to reduce the pressure in the eye to prevent or slow down further damage to the optic nerve and so protect your vision from getting worse. Creating a route for the excess fluid to escape is the obvious solution and Ophthalmologists have been doing surgery for almost 150 years.


The Hydrus procedure belongs to a group called MIGS (minimally invasive Glaucoma Surgery). It is FDA-approved but generally does not get the eye pressure very low so is most useful in early to moderate stages of glaucoma or in combination with cataract surgery. We are happy to advise you on the suitability of these devices to help control your Glaucoma.

Most of the restriction to fluid drainage from the eye rests in the trabecular meshwork.

Several operations have been devised using tiny equipment and devices to cut through the trabecular meshwork without damaging any other tissues in the ocular drainage pathway.

A person’s visual system is similar to a digital video camera. The eye (camera) connects to the brain (computer) via an optic nerve (USB cable), and all 3 parts need to function for us to see. Glaucoma is a condition of the eye where the optic nerve becomes slowly damaged. If left untreated, this can then lead to some loss of vision, initially peripherally and then central.

You may not know that you have glaucoma until you have lost a lot of your sight, as there are usually no known early warning symptoms.

There are various treatment options but unfortunately vision that has already been lost cannot be restored. The aim of treatment is to reduce the pressure in the eye to prevent or slow down further damage to the optic nerve and so protect your vision from getting worse. Creating a route for the excess fluid to escape is the obvious solution and Ophthalmologists have been doing surgery for almost 150 years.


The Hydrus procedure belongs to a group called MIGS (minimally invasive Glaucoma Surgery). It is FDA-approved but generally does not get the eye pressure very low so is most useful in early to moderate stages of glaucoma or in combination with cataract surgery. We are happy to advise you on the suitability of these devices to help control your Glaucoma.

Read more
Treatment Benefits Benefits

What are the benefits of Hydrus?

  • Hydrus Microstent is safer than traditional Glaucoma surgery.
  • Hydrus Microstent is a quick procedure to perform.
  • Hydrus Microstent can be performed at the same time as cataract surgery.
  • Hydrus Microstent can reduce your dependence on taking eye drops.
  • The surgery can be performed under a local anaesthetic or general anaesthetic.
  • The Hydrus Microstent is suitable for almost all patients suffering with Glaucoma.

How is it performed?

  • 1.The operation is usually performed under a local anaesthetic, meaning that you are awake but your eye is numb so you will not feel anything.
  • 2.The eye is entered and the inside filled with a gel-like substance called viscoelastic to inflate the eye and reduce bleeding.
  • 3.The stent is inserted under visualisation with a special surgical lens into the anterior chamber drainage angle.
  • 4.The viscoelastic gel is removed from the eye and wounds sealed using fluid (no stitches).
Hydrus
LaserVision-FAQ-Main

Fluid called aqueous humour is naturally produced within the eye and drains away through a complex sponge-like network called Trabecular meshwork. Glaucoma is the result of a build-up of this fluid caused by a blockage of the natural drainage channels of the eye. This pressure can damage the optic nerve which carries images from the eye to the brain, affecting your vision. If your current drops are not adequately maintaining your vision or you are unable to tolerate drops, a surgical option may be suitable for you.

The MIGS group of operations have been developed in recent years in an attempt to minimise the physical aspects of surgery, and in doing so, reduces some of the complications of most standard glaucoma surgeries.
The Hydrus stent utilises a microscopic-sized metallic device to stent open approximately 90 degrees of the Schlemm’s canal which allows Aqueous fluid to travel across the Trabecular meshwork to collector channels. The procedure can be undertaken in minutes and at the same time as cataract surgery which means the patient experience is much improved.

In broad terms, Glaucoma treatment can be separated into eye drops, lasers and surgery. Surgery is generally offered when the drops or laser you have been using or have had, have not lowered the eye pressure enough. This can result in the development of side-effects, or difficulty in using the drops.

You may be suitable for a laser procedure, or you may need more eye drops. However, this may not control your Glaucoma and your vision may continue to get worse.

The Hydrus Microstent is an 8 mm long, curved device that comprises alternating spines for structural support and windows for aqueous outflow. It is made of Nitinol, an alloy used in many surgical devices which have been shown not to degrade and is safe for use within the human body. Although relatively new, studies spanning 3 years have demonstrated its extremely safe use in the eye and excellent pressure lowering ability. It is also safe in MRI use.

The location of the Hydrus is in the anterior chamber angle of the eye. As this is internal within the eye, the patient will not be able to feel it. The stent will not be visible to the patient or anyone looking at the eye, it can however be viewed by your surgeon using a special lens with a mirror during consultation.

Choosing the right vision correction clinic for your surgery is paramount. This is a life changing procedure after all, and you need to have complete trust in your surgeon and care team of professionals.

Previous Slide Next Slide

Choosing the right vision correction clinic for your surgery is paramount. This is a life changing procedure after all, and you need to have complete trust in your surgeon and care team of professionals.

Previous Slide Next Slide
Events