Goniotomy. Improve fluid drainage through the trabecular meshwork.
Goniotomy is a minimally invasive glaucoma surgery technique used to improve fluid drainage from the eye and lower intraocular pressure.
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- Dr. Shehzad Batliwala, Board-Certified
- Aftercare included
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- MIGSGlaucoma surgery
- Few daysTypical activity return
- Open-angleCommon adult use
- No implantTissue-based approach
Medically reviewed by Dr. Shehzad Batliwala, DO, MGM · Board-Certified Ophthalmologist
Goniotomy in Plano, TX · Serving Plano, Allen, Frisco, McKinney, Dallas & the North Dallas area
Who Goniotomy is for.
You may be a great fit if any of these sound familiar.
- Patients with open-angle glaucoma needing better IOP control
- Patients seeking to reduce reliance on medication
- Patients having cataract surgery who may benefit from a combined procedure
- Select pediatric patients depending on the condition
We may recommend something else if…
- Angle anatomy that cannot be safely visualized
- Eye conditions requiring implant-based or more invasive glaucoma surgery
- Active eye infection or uncontrolled inflammation
- Patients unable to complete follow-up pressure monitoring
None of these are deal-breakers, they're reasons to look at the alternatives. We'll tell you straight at consultation.
Free 60-minute consult · If you're not a fit, we'll tell you.
How Goniotomy lowers eye pressure.
Goniotomy clears the blockage in the eye's drainage tissue so fluid can leave more freely. Here's how it works.
- 01Step 01
Visualize and plan the drainage angle
DiagnosticsTreatment begins with a comprehensive glaucoma evaluation and direct visualization of the drainage angle. These diagnostics confirm goniotomy is appropriate and map exactly where the trabecular meshwork is restricting outflow.
- 02Step 02
Access the eye through a micro-incision
Often with cataract surgeryThe procedure is performed through the same tiny incision used for cataract surgery, so the two are often combined - adding only minutes. Numbing keeps you comfortable and no external wound is created.
- 03Step 03
Open the trabecular meshwork
No implantUsing advanced visualization and microsurgical instruments, your surgeon makes a precise opening in the trabecular meshwork - the eye's natural drainage filter. No device is left behind; the eye's own anatomy does the work.
- 04Step 04
Improved outflow, fewer drops
Days to recoverWith the meshwork opened, fluid drains more easily and intraocular pressure falls. Many patients reduce their glaucoma drops, and most resume normal activities within a few days.
Questions about the procedure? We'll walk you through all of it.
What to expect, start to finish.
- 01Consult visitStep 01
Angle visualization and planning
Treatment begins with a comprehensive glaucoma evaluation and visualization of the drainage angle.
- 02Surgical visitStep 02
Trabecular meshwork incision
Using advanced visualization tools and microsurgical instruments, a tiny opening is made in the trabecular meshwork to improve outflow.
- 03Days to weeksStep 03
Healing and pressure stabilization
Most patients recover within a few days to a week, with follow-up visits to track pressure response.
Your map, your candidacy, your plan — in one visit.
Clear costs. Real options.
One honest, all-in number — no surprises. Most patients use FSA / HSA, insurance, or 0% APR financing. Our Affordability page walks through every option in plain English.
Why we don't discount Goniotomy
Goniotomy is typically covered by insurance and Medicare when medically necessary. We verify your benefits before you commit and quote any out-of-pocket portion in writing - nothing gets added on surgery day.
What patients say
Is Goniotomy painful?
No. The procedure is performed under anesthesia, so patients do not feel pain during surgery. Mild discomfort or irritation may occur afterward.What is the main purpose of Goniotomy?
The primary goal is to improve the outflow of aqueous fluid from the eye, helping lower IOP and manage glaucoma.How long does it take to recover from Goniotomy?
Most patients recover within a few days to a week, although complete healing may take a few weeks.Will I still need glaucoma medications after Goniotomy?
Many patients can reduce or eliminate their need for glaucoma drops, but this depends on the individual condition and response to surgery.Who is a good candidate for Goniotomy?
Goniotomy is often recommended for specific types of glaucoma, including congenital or juvenile glaucoma, and sometimes in adults where minimally invasive glaucoma surgery is suitable.Are the results of Goniotomy permanent?
Goniotomy can provide long-term pressure control, but glaucoma is chronic and regular monitoring is necessary.
Still have questions?
Talk to our team, no pressure, no sales pitch. We answer the question, not the upsell.
Not the right fit? Here's what else we offer.
Picking the right procedure is a diagnosis question, not a marketing one. If your eyes are better served by a different path, we'll tell you.
Keep researching, on your terms.
Cost, safety, candidacy — the questions patients actually ask, answered in plain English in our patient education library.
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See what better vision looks like. At any stage of life.
Glasses 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.
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- Dr. Shehzad Batliwala, Board-Certified
- Aftercare included
- FSA/HSA + 0% APR financing