Glaucoma & MIGS
Protect your vision with fellowship-trained glaucoma specialist Medi Eslani, MD, FAAO, from SLT laser and sustained-release implants to the latest minimally invasive surgery and vision-saving advanced glaucoma surgeries.
Understanding Glaucoma
Glaucoma usually develops without symptoms. With early detection and steady, modern management, most patients keep their vision for life.
Glaucoma damages the optic nerve, frequently due to elevated pressure inside the eye. As a fellowship-trained glaucoma specialist, Dr. Eslani tailors a plan to your eyes, escalating only as much as needed to keep your pressure controlled.
A quick, comfortable in-office laser that helps the eye drain better, often reducing or delaying the need for drops.
Daily drops that lower eye pressure, used alone or alongside other treatments.
Implants such as Durysta and iDose TR release medication inside the eye for months.
Minimally invasive surgery that lowers pressure through tiny incisions.
Trabeculectomy or tube-shunt surgery for powerful, lasting pressure control when needed.
MIGS Procedures
MIGS lowers eye pressure through tiny incisions with a faster recovery than traditional surgery. Dr. Eslani offers the full modern range. Here's how each works.
Your eye constantly makes a clear fluid called aqueous humor. When it can't drain quickly enough (usually at the eye's natural drainage angle), pressure builds and can damage the optic nerve. MIGS procedures gently reopen, bypass, or supplement that drainage pathway, letting fluid leave the eye and lowering pressure with minimal disruption and a faster recovery.
Aqueous fluid (gold) drains at the eye's natural angle (circled), the target for most MIGS procedures.
iStent infinite · Hydrus
Among the smallest devices in medicine, these tiny implants are placed in your eye's natural drain to improve fluid outflow.
OMNI · iTrack Advance · GATT · VIA360
A micro-catheter gently opens and reinforces the eye's natural drainage canal (Schlemm's canal) to restore outflow, effective without leaving a permanent implant.
Kahook Dual Blade · Sion
Gently removes the clogged drainage tissue (trabecular meshwork) so fluid leaves the eye more freely. This approach is bleb-free and often paired with cataract surgery.
Xen Gel Stent
A soft, flexible gelatin tube creates a new drainage pathway for moderate-to-advanced glaucoma, with a relatively quick recovery.
iDose TR · Durysta
Tiny implants placed inside the eye that release pressure-lowering medication for months to years, reducing or replacing daily drops.
Trabeculectomy · Tube shunts
When more pressure control is needed, time-tested procedures deliver powerful, lasting results, backed by fellowship training in complex glaucoma surgery.
AlloFlo
Directs fluid into the suprachoroidal space (a separate, natural outflow pathway between the choroid and sclera) to lower eye pressure through a tiny, minimally invasive approach.
Fellowship-trained under one of the field's leaders, Dr. Eslani offers the complete range of modern glaucoma care: SLT, sustained-release implants, every major MIGS platform, and advanced surgery. You get the right procedure for your eyes, not a one-size-fits-all plan.
Years of daily drops can leave the ocular surface inflamed, red, and sore. Dr. Eslani treats both conditions together, lowering your drop burden with MIGS while restoring comfort through advanced dry eye therapy, including LipiFlow, IPL, and serum tears.
FAQ
Schedule a glaucoma evaluation with Dr. Eslani today.