Our Summary

This research paper highlights new treatments for glaucoma that have been approved by the Federal Drug Administration (FDA). These include the bimatoprost implant, travoprost implant, a procedure involving a laser called direct selective laser trabeculoplasty (DSLT), and a device called the ocular pressure adjusting pump.

The bimatoprost implant is a treatment that lasts for about a year with a single use, while the travoprost implant lasts for around three years. The DSLT procedure uses a laser to lower the pressure inside the eye, and the ocular pressure adjusting pump is a device that fits like goggles and lowers the pressure in the eye without the use of drugs.

These treatments not only help lower the pressure in the eye, but they also improve the patient’s experience by reducing the number of drops they need to take, decreasing the time a laser treatment takes, or reducing side effects.

There are also two other devices under review, a stent and an adjustable tube shunt. Overall, the paper emphasizes how much glaucoma treatment has improved over the last decade with new medications, less invasive surgeries, and devices that release drugs over a sustained period. These advances have allowed for more patient-centered decisions regarding treatment.

FAQs

  1. What are some new FDA-approved treatments for glaucoma?
  2. What are the benefits of the new glaucoma treatments like the bimatoprost implant, travoprost implant, and ocular pressure adjusting pump?
  3. What are some promising devices currently under review for the treatment of glaucoma?

Doctor’s Tip

A helpful tip a doctor might tell a patient about glaucoma surgery is to follow post-operative instructions carefully, including taking prescribed medications, attending follow-up appointments, and avoiding activities that could increase eye pressure. It is important to communicate any changes in vision or symptoms to your doctor promptly to ensure successful recovery and optimal outcomes.

Suitable For

Glaucoma surgery is typically recommended for patients who have not responded well to other forms of treatment, such as medication or laser therapy, or for those whose condition has progressed to a more advanced stage. Patients with severe glaucoma, uncontrolled intraocular pressure, or significant optic nerve damage may also be candidates for surgery. Additionally, patients who are unable to adhere to a strict medication regimen or who experience significant side effects from medication may benefit from glaucoma surgery. Ultimately, the decision to undergo surgery should be made in consultation with an ophthalmologist or glaucoma specialist who can evaluate the individual patient’s specific needs and circumstances.

Timeline

  • Before glaucoma surgery:
  1. Patient is diagnosed with glaucoma through a comprehensive eye exam and tests to measure intraocular pressure (IOP).
  2. Patient may be prescribed eye drops, oral medications, or laser therapy to manage IOP and slow down the progression of the disease.
  3. Patient may experience side effects or difficulty adhering to medication regimens.
  4. Patient may require frequent follow-up appointments to monitor their condition and adjust treatment as needed.
  • After glaucoma surgery:
  1. Patient undergoes glaucoma surgery, such as the bimatoprost implant, travoprost implant, DSLT, or ocular pressure adjusting pump, as approved by the FDA.
  2. Patient may experience immediate relief of symptoms and improved vision.
  3. Patient may have reduced dependence on eye drops or other medications.
  4. Patient may require post-operative care, including follow-up appointments to monitor IOP and ensure the success of the surgery.
  5. Patient may experience improved quality of life and reduced risk of vision loss associated with glaucoma progression.

What to Ask Your Doctor

Some questions a patient should ask their doctor about glaucoma surgery include:

  1. What are the risks and benefits of undergoing glaucoma surgery?
  2. How will the surgery affect my vision and overall eye health?
  3. What is the success rate of the specific type of glaucoma surgery being recommended?
  4. What is the recovery process like after glaucoma surgery?
  5. Are there any alternative treatments or procedures available for my specific type of glaucoma?
  6. How long will the effects of the surgery last, and will I need additional treatments in the future?
  7. What are the potential complications or side effects of the surgery?
  8. How experienced is the surgeon in performing this type of glaucoma surgery?
  9. Will I need to make any lifestyle changes or take medications after the surgery?
  10. Can you provide me with more information or resources to help me better understand the procedure and its potential outcomes?

Reference

Authors: Mai AP, Ferguson TJ, Radcliffe N. Journal: Curr Opin Ophthalmol. 2025 Mar 1;36(2):135-139. doi: 10.1097/ICU.0000000000001110. Epub 2025 Jan 9. PMID: 39787001