The first step in glaucoma care is not choosing a device. It is confirming whether the optic nerve is protected at the pressure the eye is living with now, then matching treatment to the disease stage and target pressure.
If another doctor has already recommended iStent, Hydrus, Durysta, iDose, goniotomy, or canaloplasty, the MIGS guide explains that option. If the diagnosis, the pressure goal, or the need for treatment is still unclear, start with an evaluation instead. Glaucoma can damage peripheral vision before you notice symptoms, so pressure readings only mean something next to optic nerve structure, visual field function, corneal thickness, drainage angle, and your target pressure.
Elevated pressure is not automatically a reason for surgery. Ocular hypertension means eye pressure is high without confirmed optic nerve damage or visual-field loss, and it is often handled with monitoring, drops, or SLT. MIGS enters the conversation when open-angle glaucoma, cataract timing, drop burden, or a specific pressure goal makes a procedure medically appropriate. The glaucoma overview covers the condition itself if you need that first.
Sudden eye pain, redness, halos around lights, headache, nausea, or abruptly blurry vision can signal an acute rise in eye pressure. Call an eye doctor immediately or go to an emergency room; do not use routine online scheduling for these symptoms.
Call 214-972-2020These options separate diagnosis, pressure management, drops alternatives, and surgery decisions so the next step matches the actual pressure problem.
A glaucoma evaluation reviews pressure history, optic nerve imaging, visual fields, corneal thickness, and drainage-angle anatomy before treatment is chosen.
See the exam guideHigh eye pressureOcular hypertension may need monitoring, drops, SLT, sustained-release medication, or MIGS depending on optic nerve risk, pressure trend, corneal thickness, and the target pressure.
Review glaucoma careDrops alternativeCompare drop side effects, adherence, cost, Durysta, iDose, SLT, and drainage-based MIGS before choosing a device.
Compare optionsGlaucoma surgeryMIGS can fit many mild-to-moderate open-angle glaucoma patients, but the evaluation should also clarify when referral for traditional glaucoma surgery is safer.
Read surgery guideTraveling patientsFor patients traveling from elsewhere in Texas, prior pressure records, OCT, visual fields, medications, and cataract notes should be reviewed before deciding whether a Plano visit is the right next step.
Plan Texas visitSecond opinionA second opinion should review pressure trend, OCT, visual fields, drainage angle, cataract timing, drop side effects, and whether SLT, Durysta, iDose, MIGS, or referral makes sense before treatment changes.
Review records neededChoosing careWhen comparing glaucoma care, look at the quality of the evaluation: pressure trend, OCT, visual fields, angle anatomy, medication burden, cataract timing, and referral judgment.
Choose careA glaucoma plan is only as good as the measurements behind it. The visit should define the current pressure problem, show how the optic nerve is holding up, and identify the least burdensome step that can protect vision before adding drops or scheduling surgery.
For earlier disease or borderline ocular hypertension, the safest plan may be continued monitoring, pressure-lowering drops, or selective laser trabeculoplasty. SLT is a no-incision, repeatable laser option that belongs in the conversation before assuming another bottle or an implant is the next step.
Durysta and iDose TR place glaucoma medication inside the eye for selected open-angle glaucoma or ocular hypertension patients who fit the pressure, angle, and corneal safety criteria.
iStent, Hydrus, goniotomy, and canaloplasty may be considered when drainage anatomy fits and cataract surgery can safely share the same treatment window.
When pressure needs to be much lower, disease is advanced, or prior procedures have not protected the optic nerve, trabeculectomy, tube shunts, or fellowship-glaucoma care may be more appropriate.
Selective laser trabeculoplasty treats the eye's natural drainage tissue to improve fluid outflow. It is commonly discussed for selected open-angle glaucoma or ocular-hypertension patients as an initial treatment or when drops are difficult to use.
SLT does not repair existing optic-nerve damage, and it does not work equally for every eye. The decision depends on angle anatomy, current and target pressure, prior laser treatment, inflammation risk, and whether the expected pressure reduction is enough to protect the nerve.
Confirm open drainage angles, establish the target pressure, review drops and prior laser care, and document a baseline pressure.
Recheck inflammation and pressure on the schedule provided by the clinical team; the pressure response is measured rather than assumed.
Continue or adjust drops, consider another treatment, or refer for more intensive glaucoma surgery when the target cannot be reached safely.
Start here for diagnosis, pressure-goal evaluation, ocular hypertension, treatment planning, or a second opinion before choosing a device.
Review exam guideUse this if you are still learning what glaucoma is, why lower eye pressure matters, how ocular hypertension differs from glaucoma, and when drops, SLT, Durysta, iDose, or MIGS may enter the plan.
Review glaucomaUse the MIGS procedure page when you are ready to compare iStent, Hydrus, goniotomy, canaloplasty, Durysta, and iDose.
Compare MIGSReview the biodegradable bimatoprost implant for selected open-angle glaucoma or ocular hypertension patients.
View DurystaReview sustained-release travoprost medication delivery and the corneal safety testing used in candidacy decisions.
View iDoseUse this guide to send pressure records, OCT scans, visual fields, medications, and cataract notes before deciding whether a longer trip for glaucoma or MIGS care makes sense.
Plan travelGlaucoma estimates depend on medical necessity, insurance benefits, deductibles, copays, procedure type, and cataract timing.
Review costsDr. Shehz and Dr. Al-Sadi connect pressure, imaging, visual fields, medication tolerance, cataract timing, and surgical options so the treatment plan does not stop at one test or one device.
5.0 Google rating from 92 reviews
Vision correction & anterior segment surgeon
Residency-trained optometrist, ocular disease
Repeat measurements are interpreted against an individualized target pressure, medication timing, corneal thickness, and the full pressure history rather than one isolated reading.
OCT and visual fields are compared over time so stability can be documented and progression can be recognized before the plan falls behind the disease.
Drops, side effects, adherence, cost, and quality-of-life burden are reviewed alongside pressure response before laser, sustained-release medication, or surgery is added.
If pressure remains above target or testing shows progression, the next step may be another therapy, MIGS, combined cataract care, or referral for traditional glaucoma surgery.
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Most importantly, the doctor was highly knowledgeable, intelligent, and genuinely caring. He took the time to explain everything clearly and seemed truly committed to helping me achieve the best possible results. Overall, I had an excellent experience and would highly recommend this practice. The facility was exceptionally clean, luxurious, and equipped… (read more)
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Cost, safety, candidacy — the questions patients actually ask, answered in plain English in our patient education library.
Compare SLT laser and glaucoma eye drops by pressure goals, angle anatomy, daily medication burden, side effects, follow-up, and when both may be needed.
Read articleUnderstand the difference between ocular hypertension, a glaucoma suspect, and glaucoma, plus the pressure, OCT, field, cornea, and angle tests that guide follow-up.
Read articleA practical guide to glaucoma second opinions in Plano, including which records to bring, how OCT and visual fields are compared, and what the visit should answer.
Read articleCompare glaucoma drops, SLT, sustained-release medication, and MIGS based on pressure goals, side effects, adherence, cataract timing, anatomy, and disease stage.
Read articleLearn how optic nerve change, visual field loss, target pressure, medication tolerance, and disease stage determine whether glaucoma surgery is necessary.
Read articleLearn when cataract surgery can be combined with iStent, Hydrus, goniotomy, or canaloplasty and how glaucoma stage, pressure goals, and anatomy affect the plan.
Read articleGlasses on the nightstand. Contacts fighting you at the gym. The menu blurring at dinner. You don't have to live with it. Come find out what's possible for your eyes.
