CyPass Micro-Stent

A New Era in Glaucoma Surgery

Dr. Catherine Makin is pleased to offer her glaucoma patients the CyPass Micro-Stent. CyPass is part of a set of devices called Minimally Invasive Glaucoma Surgery or MIGS. In October 2017, Dr. Makin became the first doctor in Maui to become certified to use the device. This breakthrough innovative device is designed for patients with mild to moderate primary open-angle glaucoma, who also have cataracts.

Understanding Glaucoma

Glaucoma is the leading cause of irreversible blindness and affects approximately 60 million people world-wide. It is an eye disease that causes damage to the optic nerve, located at the back of the eye.

As with many diseases, the symptoms can be subtle at first, such as slight loss of peripheral vision (side vision). However, if left untreated, may lead to vision loss that gets worse over time or blindness. Once vision is lost, you cannot get it back.

Eye drops, and pills are typically used to prevent glaucoma and are considered a first line of treatment. These preventative measures work to reduce or control eye pressure. If the eye drops or pills do not help control IOP or glaucoma continues to progress, surgery may be recommended.

What is CyPass Micro-Stent?

It is well-known that cataract surgery has shown to lower intraocular pressure (IOP), at least in a large percentage of patients. It’s a very small plastic tube that is implanted during cataract surgery, just below the surface of the eye, to help reduce eye pressure. This increases the existing outflow of fluid in your eye by keeping one of the eye’s drainage pathways open. Now the fluid has a place to go and isn’t building up, resulting in reduced pressure inside your eye (IOP). The CyPass micro-stent lowers IOP better than cataract surgery along and the safety results from CyPass clinical trial were notable.

Frequently Asked Questions

How is CyPass Micro-Stent implanted?

CyPass Micro-Stent will be implanted in your eye through the same incision used for your cataract surgery, just below the surface of your eye.

What steps do I need to take before surgery?

Your eye surgeon may ask you to stop or start taking certain medications for a few days before your surgery. There are other pre-operative instructions that will be discussed upon scheduling your surgery. You may also speak with any of our eye doctors at EyeSight Hawaii and we would be happy to to discuss any other recommendations and address your questions or concerns.

What should I expect after surgery?

Your eye surgeon will prescribe you eye drops to speed up the healing process and to prevent infection. You’ll recover at home after surgery. Typically, your eye surgeon will examine you the following day. Your eye pressure may fluctuate the first few days after surgery, but the specifics of surgery may be different for each individual. Be sure to ask your eye surgeon so you can fully understand what the recovery process is like.

Will I be able to see CyPass Micro-Stent in my eye?

CyPass Micro-Stend will be placed at the very outer edge of your iris, which is the colored part of your eye, so you won’t be able to see it once it’s implanted.