Your vision is something to celebrate. If glaucoma is keeping you from enjoying your sense of sight or putting a damper on your quality of life, we would like to help you find a solution to curtail elevated intraocular pressure. One way we can do that at Vance Thompson Vision is through ab-interno canaloplasty (ABiC), a minimally invasive glaucoma surgery (also known as MIGS) that can be used to effectively reduce discomfort from elevated eye pressure associated with glaucoma.
Our board-certified ophthalmologist surgeons Drs. Berdahl, Greenwood, and board-eligible ophthalmologist Dr. Swan are all very dedicated to providing glaucoma patients with the most advanced technological options. Vance Thompson Vision employs a team of highly skilled glaucoma surgeons who are leaders in the research and development in all aspects of eye care for the future. Their commitment to surgical and clinical excellence at our Bozeman, MT practice is at the forefront of all treatment planning.
ABiC can approach each aspect of glaucoma, restoring the natural drainage function of the eye, delivering an approximate 30% reduction in eye pressure and reducing the need for glaucoma medications by up to 50%.
"Friendly and skillful staff. Extremely knowledgeable doctor."- E.G. / Google / Nov 29, 2018
"Wonderful staff! You made Jan and I feel special and welcomed and we felt very taken care of. Than you all and Dr. Swan for being so thorough and helful."- M.C. / Google / Oct 03, 2018
"If you are considering cataract surgery, Dr. Swan and the staff at Vance Thompson Vision in Bozeman are the team you want in your corner. They are both knowledgeable and professional while still remaining personable, kind and compassionate. The office is equipped with the latest in advanced technology making the process easier and safer than ever. I felt taken care of from the moment I walked in the door. The staff, Briana in particular, and Dr. Swan, went over every aspect of the surgery with me. They answered all my questions, and spent a substantial amount of time examining me and reviewing the available options for my specific situation. I wholeheartedly recommend Dr. Swan an Vance Thompson Vision in Bozeman."- J.D. / Google / Sep 02, 2018
"My husband was referred by his eye doctor in Helena and we were pleased to get an appointment within a few days. The appointment was a pleasant experience, with friendly, knowledgeable staff. Kacie did the preliminary tests and was very good to my husband and very professional on her knowledge. Dr Swan has a very easy manner and was very thorough and really informative. He spent plenty of time explaining and was clear about the benefits and drawbacks to my husbands procedure. The whole appointment was very relaxed and informative. We'll post how the procedure went soon!"- G.J. / Yelp / Aug 06, 2018
"Very friendly and accommodating staff. I have a corneal disease and they really know their stuff!"- C.S. / Facebook / Jul 31, 2018
Only a board-certified ophthalmologist can determine if ABiC is an option for you. During a consultation at Vance Thompson Vision, we will discuss your eligibility by assessing the presence of the following symptoms, which can help us determine a treatment. The best candidates for ABiC:
- Have primary open-angle, pseudoexfoliation, or pigmentary glaucoma
- Are intolerant of glaucoma medications, or have difficulty taking them as prescribed
- Wish to reduce the number of glaucoma medications they are currently taking
- Have difficulty committing to regular follow-up treatments
- Have a history of failed ALT (argon laser trabeculoplasty) treatments
In our outpatient facility, ABiC treatment begins with a small incision in the eye. A catheter will then be inserted into the drainage canal of the eye. Next, the catheter will be rotated in a circular motion to open up the canal, enlarging it and easing its ability to drain correctly. Next, the catheter is slowly removed while a viscoelastic gel is injected into the canal for proper dilation. While the canal is being flushed and enlarged, the catheter will be removed from the eye. The fundamental idea is to restore the eye's ability to drain naturally, in turn decreasing the pressure.
What to Expect
Immediately following your ABiC procedure, you may resume normal, day-to-day activities. It is important to remember that the best treatment for glaucoma is consistency, so you will need to continue visiting your eye care provider at least every six months. ABiC is associated with very few post-procedure risks, but these may include:
- Intraocular pressure increases
- The formation of a bleb (a blister-like or aqueous fluid buildup at the surgical site)
- Intraocular pressures decreasing too drastically
- Recovery Time
- 1 - 7 days
- Procedure Time
- 5 minutes
- Follow Up Time
- 1 day, 1 week, 1 month
- Recovery Location
Take Control With ABiC
Glaucoma can cause debilitating and life-altering symptoms. At Vance Thompson Vision, our hope is to help you find a treatment which will help you cope with glaucoma in the most effective manner and to restore your quality of life. We offer a number of MIG treatments for patients who are candidates for minimally invasive glaucoma surgery, as well as a number of other procedures to help combat the condition. For more information about ABiC, or to schedule your consultation with our skilled medical team, please contact our Bozeman office at your earliest convenience.