Interventional Glaucoma in Notre Dame

Name: Interventional Glaucoma
Brand: Boling Vision Center

Boling Vision Center offers comprehensive glaucoma treatment, from medical management and laser therapy to advanced interventional glaucoma procedures, providing Notre Dame area residents with the full spectrum of glaucoma care close to home.

Staying Ahead of the Silent Thief of Sight

Glaucoma is the second leading cause of blindness in the world, affecting approximately 2.2 million Americans, and remarkably, only about half of those affected actually know they have it. Its defining characteristic is what makes it most dangerous: it typically develops without any noticeable symptoms until significant and permanent vision loss has already occurred.

At Boling Vision Center, interventional glaucoma in Notre Dame reflects our commitment to going beyond drops alone when drops alone aren't enough. Our goal is straightforward: lower eye pressure, protect the optic nerve, and preserve your vision. Every treatment plan is customized to the individual guest based on their stage of glaucoma, lifestyle, and overall health. Don't wait for symptoms that may never come — schedule a comprehensive glaucoma evaluation at our Notre Dame location today.

Understanding Glaucoma

Glaucoma is a group of conditions that damage the optic nerve, most commonly as a result of elevated intraocular pressure. The optic nerve acts as the messenger between the eye and the brain, transmitting visual information that the brain interprets as sight. When sustained elevated pressure damages its fibers over time, the result is irreversible peripheral vision loss that, without appropriate management, progresses through the following stages:

Blind spots in peripheral vision
Tunnel vision
Total blindness

Because glaucoma typically produces no pain or obvious symptoms in its early stages, many doctors have called it the silent thief of sight. Regular comprehensive eye exams are the primary means of detection, and early intervention is what makes the difference between preserved vision and permanent loss.

Types of Glaucoma We Treat

Glaucoma encompasses several distinct conditions, each with different mechanisms, presentations, and management considerations, and Boling Vision Center's Notre Dame team is experienced in evaluating and treating all of them.

Primary Open-Angle Glaucoma

The most common form, developing gradually as the eye's drainage system becomes less efficient over time, causing intraocular pressure to rise slowly. Typically asymptomatic in its early stages and most commonly detected through routine eye exams.

Normal-Tension Glaucoma

Optic nerve damage that occurs despite intraocular pressure within the statistically normal range. Less common but equally serious, requiring particular attentiveness to factors beyond pressure alone.

Angle-Closure Glaucoma

Occurs when the drainage angle of the eye becomes blocked, either gradually or suddenly. Acute angle-closure is a medical emergency producing sudden, severe eye pain, headache, nausea, and blurred vision that requires immediate treatment to prevent permanent vision loss.

Secondary Glaucoma

Develops as a result of another condition, including diabetes, eye injury, inflammation, or prior eye surgery. Management requires addressing both the elevated pressure and the underlying contributing condition.

Schedule A Consultation

Always excellent care at Boling Vision Center. Every member of the team is kind and professional. I appreciate Dr Boling's time. He does a very thorough exam that is not rushed.

Hollis Claire

Glaucoma Risk Factors

Understanding the factors that increase glaucoma risk helps patients make informed decisions about monitoring frequency and the urgency of evaluation. Key risk factors include:

Age over 40, with risk increasing significantly with each decade
African-American ethnicity, which carries a higher risk of developing glaucoma at a younger age and of experiencing permanent vision loss
Family history of glaucoma
Systemic conditions, including diabetes, heart disease, high blood pressure, and hypothyroidism
Prior eye conditions, including eye tumors, inflammation, lens dislocation, and retinal detachment
Significant eye injuries causing elevated intraocular pressure
Long-term corticosteroid use, including certain eye drops
Significant nearsightedness or farsightedness

Glaucoma Treatment

At Boling Vision Center, glaucoma treatment in Notre Dame follows a progressive, individualized approach that begins with the least invasive effective option and advances as the clinical picture requires.

Prescription Eye Drops

For many guests, glaucoma is initially managed with prescription eye drops that lower intraocular pressure by reducing fluid production or improving drainage. Consistent adherence to the prescribed regimen is essential, as sustained pressure control is what protects the optic nerve over time.

Oral Medication

Diamox is an oral medication used in select cases to rapidly decrease intraocular pressure, typically as a short-term bridge while other treatments are established or in acute angle-closure situations.

Procedural Pharmaceuticals

For guests who struggle with drop adherence or want to reduce their daily medication burden, long-term pressure control through medication delivered directly inside the eye is now available.

iDose is a tiny implant placed inside the eye that slowly releases glaucoma medication continuously over time, providing consistent pressure control while significantly reducing or eliminating the need for daily drops. It is particularly well-suited for guests combining glaucoma management with cataract surgery.

Durysta delivers proven glaucoma medication through a small, dissolvable implant placed inside the eye, providing consistent pressure reduction without preservatives. It is an excellent option for guests who are sensitive to preserved drops or who want fewer daily medications to manage.

Laser Treatment

Laser therapy improves the natural drainage of fluid from the eye to reduce intraocular pressure without incisions or significant downtime. Options available at Boling Vision Center's Notre Dame location include:

Selective Laser Trabeculoplasty (SLT): A safe, well-established in-office laser treatment that improves drainage by applying targeted laser energy to the trabecular meshwork. It can be used as a first-line treatment or as an adjunct to drops and can be repeated if necessary.
G6 Laser: An additional laser option for improving aqueous outflow and achieving targeted pressure reduction. Both laser treatments are quick, comfortable, and completed entirely in our office.

Interventional Glaucoma Treatment

At Boling Vision Center, interventional glaucoma in Notre Dame reflects the evolving standard of glaucoma care, moving toward earlier procedural intervention that addresses the underlying drainage dysfunction more directly and durably than drops alone. Minimally invasive glaucoma surgery, or MIGS, encompasses a range of micro-scale surgical procedures that lower intraocular pressure with minimal tissue disruption, rapid recovery, and a favorable safety profile. Many MIGS procedures can be performed in combination with cataract surgery, giving guests two meaningful benefits from a single operative experience.

Tissue-Sparing MIGS Options

These devices and techniques gently improve fluid drainage without removing internal eye tissue:

iStent and iStent Inject: Tiny implants placed in the eye's natural drainage pathway to improve fluid outflow and reduce intraocular pressure.
Hydrus Microstent: A small scaffold implanted in the drainage canal to keep it open and improve aqueous outflow.
Kahook Dual Blade (KDB) Goniotomy: A precise technique that removes a section of the trabecular meshwork to improve outflow.
OMNI Surgical System: Performs both viscoelastic injection and goniotomy to address multiple points of outflow resistance in a single procedure.
iAccess: A minimally invasive approach to improving trabecular outflow with minimal tissue disruption.

Non-Tissue Sparing MIGS Option

Xen Gel Stent: For guests with more advanced disease or when additional pressure control is needed beyond what tissue-sparing options can achieve, the Xen Gel Stent creates a new drainage pathway with a minimally invasive approach.

Glaucoma Surgery

For guests with advanced glaucoma or those who don't achieve adequate pressure control with less invasive options, glaucoma surgery at Boling Vision Center includes:

Trabeculectomy: A filtering procedure that creates a new drainage opening in the eye to lower intraocular pressure significantly and durably.
Glaucoma Drainage Tubes: Tube shunt implantation creates a new drainage pathway for guests requiring significant long-term pressure reduction. These procedures remain highly effective for patients needing the greatest degree of pressure control.

All glaucoma surgery in Notre Dame at Boling Vision Center is performed at our on-site Joint Commission-certified INSIGHT Surgery Center.

Our Approach to Glaucoma Care

At Boling Vision Center, glaucoma care goes beyond simply managing intraocular pressure, encompassing the comprehensive monitoring, individualized treatment planning, and long-term clinical partnership that protecting the optic nerve over a lifetime requires.

Comprehensive Monitoring

Effective glaucoma management requires consistent monitoring of intraocular pressure, optic nerve appearance, and visual field function over time. We use advanced imaging technology, including optical coherence tomography of the optic nerve and retinal nerve fiber layer, to track subtle structural changes that precede measurable visual field loss, giving us a meaningful head start on treatment adjustment when it's needed.

Individualized Treatment Planning

No two glaucoma cases are identical. Our team evaluates each guest's pressure, optic nerve status, visual field, disease stage, lifestyle, and treatment tolerance before making any recommendation, and revisits that plan regularly as the condition and clinical circumstances evolve. No two eyes are the same, and no two glaucoma treatment plans should be either.

A Long-Term Partnership

Glaucoma is a lifelong condition requiring ongoing management and consistent follow-up. At Boling Vision Center, we approach glaucoma care as a long-term partnership, staying closely engaged through every stage of the condition and ensuring that every guest understands their disease, their treatment, and the importance of consistency in protecting their vision.

Why Choose Boling Vision Center for Glaucoma Treatment?

Boling Vision Center offers the full range of glaucoma treatments in Notre Dame, from medical management and laser therapy to advanced MIGS procedures and glaucoma surgery, backed by state-of-the-art diagnostic technology, trained glaucoma and cataract surgeons, and over 65 years of trusted community care. When glaucoma demands more than drops alone, we're the practice Notre Dame trusts. Amazing happens here.

older woman smiling | abstract art | phoropter

Frequently Asked Questions Interventional Glaucoma

How do I know if I have glaucoma?

Glaucoma typically produces no symptoms in its early stages, which is why regular comprehensive eye exams are the primary means of detection. Elevated intraocular pressure, optic nerve changes, and visual field loss detected during an exam are the most common ways glaucoma is first identified. If you haven't had a comprehensive exam recently, scheduling one at our Notre Dame location is the right first step.

Is glaucoma treatment in Notre Dame covered by insurance?

Medical glaucoma management, including prescription drops, laser treatment, and surgical procedures, is typically covered under medical insurance when medically indicated. Our billing team will help you understand your specific coverage and what to expect in terms of out-of-pocket costs before any treatment begins.

What is the difference between MIGS and traditional glaucoma surgery?

MIGS procedures use micro-scale devices and techniques to lower intraocular pressure with minimal tissue disruption and rapid recovery. Traditional glaucoma surgery creates new drainage pathways and achieves more significant pressure reduction, but involves a more involved procedure and recovery. The appropriate approach depends on the severity of the glaucoma and the degree of pressure reduction needed.

Can glaucoma be cured?

There is currently no cure for glaucoma, and vision lost to the condition cannot be recovered. However, with appropriate treatment and consistent monitoring, the progression of glaucoma can be halted or significantly slowed, preserving the vision that remains. Early detection and consistent management are essential at every stage.

What happens if glaucoma is left untreated?

Without treatment, glaucoma typically progresses from peripheral vision loss to tunnel vision and ultimately to total blindness. The rate of progression varies between individuals, but the damage is irreversible at every stage, making timely intervention essential regardless of how mild the condition appears at diagnosis.