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%.
"I had a PRK surgery done here and had THE best experience! Every staff member is extremely caring, professional, and knowledgeable and they go above and beyond! Dr. Swan texted me the night after my surgery to make sure I was doing ok and answered my questions. They have been very good about working with me as I don’t live in Bozeman and had to travel for my appointments and surgery. When you choose Vance Thompson Vision, you are choosing the best care! Highly recommend!"- K.C. / Google / Aug 23, 2019
"Dr swan, Kim, Susan and others were all amazing. Superior friendly & knowledgeable staff. Took me through the whole process guiding, answering any questions or concerns. Dr Swan put me right at ease from the moment he entered the exam room, greeted me with a firm handshake and welcoming smile. I was nervous about having cataract surgery because I hate anything in my eyes. Everyone assured me they would make me comfortable and they did. I couldn't be any happier with the results. For the first time in nearly 60 years I can see without glasses."- J.R. / Google / Aug 22, 2019
"From the time you walk in to the time you leave, the staff there is 100% committed to your care. The team at VTV sweat the details and it shows. I was in great hands and I cannot recommend them more highly."- A.B. / Facebook / Aug 20, 2019
"Dr Swan and the Bozeman team were incredible for my PRK procedure. Very diligent, helpful, and professional. Plus the equipment was all state-of-the-art. Highly recommend."- C.M. / Google / Aug 05, 2019
"I always knew that Vance Thompson VISION was a world class group of physicians and wonderful staff! On my recent check up in talking with the staff we were visiting and I found out she had been a vet tech before so the conversation went from there and that I had recently lost my sweet dog. And a day later I receive these gorgeous flowers! I’ve never known such a truly caring group 🙏I Will never forget your thoughtful deed🐾🌈"- R.K. / Facebook / Jul 27, 2019
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.