ABOUT the KBD
At Vance Thompson Vision, Drs. Berdahl, Greenwood, and Swan take great care to select the right treatment for each glaucoma patient to lower intraocular pressure. When new, innovative tools or techniques for glaucoma become available, our surgeons in Bozeman, MT do their best to be on the forefront of any treatment that can make our patients lives better. By opening the drainage system up with the Kahook dual blade, our experienced ophthalmologists can improve the natural outflow of aqueous fluids, decrease intraocular pressure, and lower the risk of glaucoma progression (which leads to blindness). The KDB (a single-use blade) has changed the way ophthalmologists perform minimally invasive glaucoma surgery (MIGS) with considerable success.
There are multiple ways to manage glaucoma and our surgeons understand that treatments can range from prescription strength eye drops all the way to a surgical intervention. Before recommending surgery, our ophthalmology team will do their due diligence with comprehensive testing and eye exams, imaging, and more. Once you have a glaucoma treatment plan in place to have a procedure with the KBD, we will go over the pre and post-operative care instructions. Our experienced ophthalmology team and nursing staff will be there with you every step of the way. You can count on us to be your resource for information on managing your glaucoma care. If you have any questions or concerns about your treatment at Vance Thompson Vision, we are here with a listening ear. Learn more about MIGS and discover if KDB is the right choice for you.
"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
"Our son had a difficult case of Keratoconus that had not been diagnosed for 35 years. When it was diagnosed we took him to Dr. Swan and he found that cross linking was a good option. They were very caring and professional throughout the process. They explained things well and answered all questions that were asked. Upon completion of the cross linking they referred him to get scleral lenses at Advanced Eye Care. He started out with about 20/200 vision and after cross linking and the scleral lenses he how has 20/25 vision. That is a miracle. Dr Swan is the real thing and we cannot say enough about the fantastic, professional and life changing service that they provide at Vance Thompson Vision."- O. / Google / Jul 24, 2018
"The care I received in beyond compare. The doctor and all of the staff actually do their best to make sure the patient is fully knowledgeable about options. The information provide before and after surgeries made me comfortable and positive about the results. That attitude alone helped me heal quickly and with confidence. I don't say that lightly. Can't imagine a more professional doctor and staff!!!"- K.W. / Google / Jul 18, 2018
If you have been diagnosed with glaucoma (with or without cataracts), Drs. Berdahl, Greenwood, or Swan can make the determination if you are a great candidate for the KDB. We advise you to make an appointment for a consultation. Be prepared to review your list of current medications and answer a few questions regarding your medical and family health history. You may not be a qualifying patient if you are not compliant with treatment, require a more elaborate surgery, or have a trabecular meshwork that is out of the surgeon's line of sight.
In our outpatient facility, your pre-operation nurse will prepare you for surgery by starting intravenous fluids and then taken into the operating room. You will also receive some sort of sedation or a general anesthetic (rare) to help you relax, lie on your back comfortably, and feel no pain. KDB treatment begins with a small incision in the cornea. With the eye inflated, your surgeon will then insert the KDB to remove a section of the trabecular meshwork (at the base of the cornea). Ultimately, the goal is to improve the eye's ability to drain easily and consequently lowering the intraocular pressure. Your incision will have some sutures. After the surgery, you will be discharged with a bandaged and/or patch covering the eye.
What to Expect
Immediately following your KDB 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 doctor at least every six months. It is also very important to maintain your medications and aftercare instructions so that when you see your eye care provider, you can discuss your progress and any changes to your treatment (as needed).
Experience Cutting-Edge Tools
When you are discussing your glaucoma with your eye care provider, it is always a good idea to have information on the tools and techniques of your treatment. At Vance Thompson Vision, we would be happy to discuss your intraocular pressure and if a surgery using the KBD is appropriate for your case. Call and schedule an appointment in Bozeman, MT and ask about the possibilities, risks, and benefits of having MIGS with this innovative tool.