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Goniotomy

What Is Goniotomy?

Goniotomy is a minimally invasive glaucoma surgery (MIGS) technique used to improve fluid drainage from the eye and lower intraocular pressure (IOP). During the procedure, a tiny opening is made in the trabecular meshwork (the eye’s natural drainage system) to restore normal fluid flow. This helps protect the optic nerve and preserve vision in patients with glaucoma.

Who It's For

Ideal for patients with open-angle glaucoma who need better IOP control and want to reduce their reliance on medication. It is often performed alongside cataract surgery but can also be done as a standalone procedure.

Stable Eye Pressure Goals

Stable Eye Pressure Goals

Candidates should have a stable glasses or contact lens prescription for at least one year. This stability helps ensure optimal and lasting results from the procedure.

Age & Diagnosis

Age & Diagnosis

Typically recommended for adults with open-angle glaucoma. In some cases, pediatric patients may also qualify depending on the condition.

Healthy Eye Structure

Healthy Eye Structure

A clear cornea and normal angle anatomy are essential. These are key factors for the procedure’s success and effectiveness.

Reducing Medication Dependence

Reducing Medication Dependence

Ideal for those looking to lessen their reliance on daily glaucoma drops. Supports long-term eye pressure control and overall eye health.

Other Procedures

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Benefits & Recovery

At Vision Quest Eye Clinic, our goniotomy procedures are tailored to each patient’s needs, providing safe, effective glaucoma management with faster recovery times:

Minimally Invasive Approach

Minimally Invasive Approach

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

Medication Reduction

Medication Reduction

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

Quick Recovery

Quick Recovery

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

How the Procedure Works

Your treatment begins with a comprehensive glaucoma evaluation to determine the best surgical plan. Using advanced visualization tools and microsurgical instruments, our specialists perform the procedure with precision and care.

Angle Visualization & Planning

(10–15 minutes)

Angle Visualization & Planning

We use a specialized goniolens to visualize the drainage angle of your eye in high detail. This helps guide precise incision placement.

Trabecular Meshwork Incision

(15–20 minutes)

Trabecular Meshwork Incision

Through a micro-incision, a delicate opening is made in the trabecular meshwork to allow fluid to flow more freely.

Healing & Pressure Stabilization

(Several days to weeks)

Healing & Pressure Stabilization

The eye begins to heal naturally, with IOP reduction occurring as fluid outflow improves.
Mona R
19:51 31 Jul 25
Very satisfied! So happy to be able to see. Dr Shehz is awesome, very quick, painless!!
Lucas Rocha
18:24 24 Jul 25
I can't believe I am seeing this well. This place is remarkable. Dr Shehz is the best; highly recommend!!
Tonya Moore
21:22 23 Jul 25
This is a miracle!! I never thought I would be able to see like this again!! Dr Shehz is an amazing surgeon and human. Highly recommend!!!
Santos Navarro
21:05 03 Jul 25
I can't believe how much of a difference this made. Highly recommend Dr Shehz. I was nervous I didn't think it would be as good as it is.
Max Garcia
21:35 01 Jul 25
Dr Shehz hooked it up!! No glasses; he is the absolute best.
Fred Lindt
15:10 18 Jun 25
Did a good job. Would recommend to anybody
Robert Murray
00:07 06 Jun 25
I am very impressed with West Texas Eye Associates. My first appointment was with Dr. Bradley to determine that I was a candidate for cataract surgery and lenses. I was scheduled for surgery on both eyes with Dr. Shehz. One eye then 2 weeks the other eye. Both surgeries went as planned, were painless, quick and no recovery time. I had no issues seeing and had immediate results. Over the next week it got even better. The front desk staff was very efficient and friendly , the eye techs were all friendly and efficient, and the Doctors are well trained, explained the procedure in detail and provided excellent care. I could not be more pleased with the entire process and my new vision. I highly recommend West Texas Eye Associates to anyone with eye issues.
Terry Fowler
23:23 05 Jun 25
Dr. shah’s was wonderful. Very professional and answered all my questions. I had cataract surgery and lense replacement and it all went perfectly! A great experience for sure.
G D
21:38 03 Jun 25
Great results, great doctor!!
Jerry Smith
16:35 03 Jun 25
The entire staff was awesome !!!! The follow up was amazing and I’d not hesitate to use their services again !!!!

FAQs

Goniotomy is a specialized glaucoma surgery designed to improve the drainage of fluid from the eye, thereby lowering intraocular pressure (IOP).

No, the procedure is performed under anesthesia, so patients do not feel pain during surgery. Mild discomfort or irritation may be experienced afterward, but it usually resolves quickly.

The primary goal of goniotomy is to improve the outflow of aqueous fluid from the eye, helping to lower IOP and manage glaucoma effectively.

Most patients recover within a few days to a week, although complete healing may take a few weeks.

 Many patients can reduce or eliminate their need for glaucoma drops after the procedure, but this depends on the individual’s condition and response to surgery.

Goniotomy is often recommended for patients with specific types of glaucoma, including congenital or juvenile glaucoma, and sometimes in adults where minimally invasive glaucoma surgery is suitable.

While goniotomy can provide long-term pressure control, glaucoma is a chronic condition, and regular monitoring is necessary to maintain eye health.

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