VISIONARY EYE
MIGS

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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Goniotomy glaucoma consultation
  • 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

Overview

A precise opening in the eye's drainage tissue.

During goniotomy, a tiny opening is made in the trabecular meshwork, the eye's natural drainage system, to restore normal fluid flow.

This can help lower intraocular pressure, protect the optic nerve, and preserve vision in patients with glaucoma.

Candidacy

Who this is- and isn't - for.

We don't push the envelope of safety to make you fit a procedure. If you aren't a great candidate, we'll tell you - and recommend the option that is.

A likely fit

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
Worth a closer look

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.

Your journey

Your journey to visual freedom.

  1. 01Consult visit
    Step 01

    Angle visualization and planning

    Treatment begins with a comprehensive glaucoma evaluation and visualization of the drainage angle.

  2. 02Surgical visit
    Step 02

    Trabecular meshwork incision

    Using advanced visualization tools and microsurgical instruments, a tiny opening is made in the trabecular meshwork to improve outflow.

  3. 03Days to weeks
    Step 03

    Healing and pressure stabilization

    Most patients recover within a few days to a week, with follow-up visits to track pressure response.

The advantage

Why we choose this approach.

  • Minimally invasive approach

    Small incision, less trauma, and preservation of the eye's natural anatomy.

  • Medication reduction

    Many patients experience a significant decrease in the number of glaucoma drops needed.

  • Quick recovery

    Most patients resume normal activities within a few days, with minimal discomfort.

A signature promise

The 20/Happy Patient Guarantee

For eligible elective vision-correction patients, your investment is protected with clear terms reviewed before treatment.

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Pricing

Clear costs. Real options.

Most patients structure payment through FSA / HSA, insurance, or 0% APR financing via CareCredit and Alphaeon. Our Affordability page walks through every option in plain English, no surprises.

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FAQ

The questions we hear most.

Don't see your question? Call us at 214-972-2020 or book a free consultation.

  • 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.

Book a free visit214-972-2020
READY WHEN YOU ARE

See what better vision looks like. At any stage of life.

Reaching for your glasses on the nightstand. Fighting contacts at the gym. Watching the menu blur at dinner. These aren't problems to live with anymore, and the only place to find out what's actually possible for your eyes is in the chair.

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Book your free visitTake the Vision Self Test
  • 20/Happy Patient Guarantee
  • Dr. Shehzad Batliwala, Board-Certified
  • Lifetime follow-up
  • FSA/HSA + 0% APR financing