Iridoplasty, also known as gonioplasty, is a technique used to pull the peripheral iris away from the trabecular meshwork in the angle of the eye, opening the anterior chamber angle. This simple procedure can be extremely effective in patients with different types of narrow-angle or angle closure glaucoma and may reduce or eliminate the need for incisional surgery.
Large spots of low energy from a laser are used to shrink areas of the iris, pulling them away from the angle which is being occluded (obstructed) by the iris. This brief procedure involves topical anesthetic and a lens being placed on your eye to focus the light on the peripheral iris.
Following the procedure, drops will be instilled to reduce the chance of a sudden increase in eye pressure. Your eye pressure will be checked by a technician after the procedure, and post-operative instructions will be provided for you. You may be prescribed an anti-inflammatory eye drop to minimize any discomfort following the procedure(s). You will be scheduled for a follow up appointment to check on the success of the procedure.
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Meet Your Glaucoma Care Specialists
Jeffrey S. Schwartz, MD is the first full-time board-certified, fellowship-trained glaucoma specialist in Pinellas County. He has been with The Eye Institute since 1988. His practice is limited to diagnosis, treatment, laser therapy and surgery of patients with glaucoma and other related diseases. Dr. Schwartz completed his residency at The University of South Florida and his glaucoma fellowship at the prestigious Jules Stein Eye Institute at UCLA. He is active in medical research and has made major contributions to the treatment and management of glaucoma. Dr. Schwartz is certified by the American Board of Ophthalmology, He serves as the medical consultant to pharmaceutical companies in the search for more effective glaucoma medications. Dr. Schwartz is on the Board of Directors and is the Medical Consultant for the Lighthouse of Pinellas and has served as the Medical Director for a number of health care plans.
Amy Z. Martino, MD completed her glaucoma fellowship at the world-renowned Bascom Palmer Eye Institute of the University of Miami Health System and School of Medicine, the #1 eye hospital and vision research center in the country. She was the first doctor in Hillsborough County to implant the Hydrus microstent for glaucoma and one of the first surgeons in Florida selected to implant the glaucoma iStent® device, the world’s smallest medical implant. Her surgical talents include glaucoma lasers and specialized glaucoma surgeries (such as trabeculectomies and glaucoma drainage devices). Dr. Martino is also a staff physician at the James A. Haley Veterans Hospital in Tampa, where she takes pride in serving those who have served our country. As a graduate of the University of South Florida, she enjoys giving lectures to the current ophthalmology residents. She volunteers her time through the Eye Care America program and Catholic Charities Medical Missions to help underprivileged patients receive eye care.