LaserVision

Treatment at a glance

1 hour

Local anaesthetic

None

Permanent results

Less invasive

Our 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.

Our 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.

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Treatment Benefits Benefits

What are the benefits of Preserflo Microshunt?

  • Preserflo Microshunt is less invasive than the traditional Trabeculectomy surgery.
  • Presurflo Microshunt has a reduced recovery time compared to traditional surgery.
  • Presurflo Microshunt has a similar success rate in selected cases after 3 years.
  • The tube is made of inert material and so can be left in place permanently.
  • The surgery can be performed under a local anaesthetic or general anaesthetic.
  • The Presurflo Microshunt 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 thin skin-like membrane covering the white of your eye (conjunctiva) will be opened and lifted.
  • 3.An anti-scarring medication called mitomycin C will be applied under the lifted conjunctiva to improve the long term success of the surgery.
  • 4.A tunnel is created through the thick sclera of the eye into the anterior part of the eye.
  • 5.The MicroShunt is inserted inside your eye through the tunnel.
  • 6.The conjunctiva will be closed with one or two stitches. These stitches may either be removed later in the clinic or left if not causing any irritation.
Preserflo Microshunt
LaserVision-FAQ-Main

The Preserflo Microshunt is aiming to reduce the pressure inside the eye and therefore prevent or slow down further damage to the optic nerve. It will not cure your glaucoma, reverse any damage already caused by glaucoma, or bring back any lost vision.

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. Like Trabeculectomy surgery (the traditional Glaucoma surgery), the Preserflo MicroShunt drains fluid from inside the eye to a pooled reservoir under the conjunctiva forming a ‘bleb’. This bleb will stay as long as the fluid is draining.

A three-year outcome study has reported a 60% fall in the eye pressure as well as a significant reduction in the number of eye drops a patient’s needs to take. The success rate in reducing eye pressure by 50% with Preserflo varies between 80% to 90% after 3 years. However we don’t have long term studies showing the success rate after this time point.

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 not lowered the eye pressure enough, you are getting side-effects, or you find it difficult to use 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.

Although any surgery is not guaranteed to be a lifelong solution, the Preserflo Microshunt is expected to last the lifetime of a person’s eye.

At first, the eye may feel a little sore or gritty, this usually lasts no more than about 48 hours. The eye then gradually returns to a normal feeling and patients are rarely troubled by the feeling of the tube.

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.

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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.

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