the eye institute of west florida

Iridoplasty

Iridoplasty/Gonioplasty Procedure

Iridoplasty, also know 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 o check on the success of the procedure.

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Meet Your Glaucoma Care Specialists

Jeffrey S. Schwartz, MDJeffrey 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.


Sandra M. Johnson, MDSandra M Johnson, MD is a fellowship-trained specialist who has been on the faculty of several of the most renowned educational institutions in the United States; Dartmouth, University of North Carolina, and the University of Virginia. She joined The Eye Institute of West Florida after 20 years of experience in all aspects of glaucoma. She follows patients as their primary glaucoma caregiver as well as seeing patients as a consultant to other eye care professionals. She is skilled in the medical, laser and surgical management of the disease. While working as a clinician-educator, she wrote scientific papers and chapters and contributed to many eye meetings. Since 2006, she has cultivated an interest in international ophthalmology and served ORBIS, as a volunteer eye faculty in many foreign countries.


Siddarth Rathi, MDSiddarth Rathi, MD, MBA,is a nationally recognized glaucoma specialist and physician innovator. He is the former Director of Teleophthalmology and Assistant Professor of Ophthalmology at NYU Langone School of Medicine. Dr. Rathi completed his graduate medical studies at Boston University and M.B.A. at Harvard Business School. His residency was completed at the NYU Medical Center and Glaucoma Fellowship at the Bascom Palmer Eye Institute – a world-renowned Institution. While attending school, Dr. Rathi received various awards to his acclaim. He was awarded the American Glaucoma Society Mentoring for the Advancement of Physician-Scientists Grant Award. Over the course of his career, Dr. Rathi has published articles in peer-reviewed journals, secured grant funding, and presented at national and international conferences. Dr. Rathi’s interests include artificial intelligence in medicine, telemedicine, and big data analytics. He spends his free time with his family and enjoys traveling.

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