Laser Vision

Treatment at a glance

What is ELIOS – Excimer Laser Trabeculostomy?

ELIOS is a minimally invasive glaucoma treatment that uses an excimer laser to create tiny openings in the eye’s trabecular meshwork, the tissue responsible for regulating fluid drainage. By improving the flow of aqueous humour through the eye’s natural drainage system, the procedure aims to lower intraocular pressure and reduce the risk of further optic nerve damage.

Glaucoma is a progressive eye condition commonly associated with elevated eye pressure, which can lead to irreversible vision loss if left untreated. ELIOS offers a targeted approach to pressure management without requiring the implantation of a drainage device.

The procedure is generally considered for patients with open-angle glaucoma and may be performed alongside cataract surgery in suitable cases. Its minimally invasive nature means that it typically involves less disruption to surrounding eye structures than traditional glaucoma surgery.

At Laser Vision, a comprehensive glaucoma assessment helps determine whether ELIOS is appropriate for each patient’s condition and long-term visual health.

ELIOS uses a specialised excimer laser to create microscopic channels through the trabecular meshwork, allowing fluid to drain more effectively from the eye. Unlike treatments that rely on thermal energy, the excimer laser removes tissue with minimal heat transfer to surrounding structures.

The procedure is performed from inside the eye through a small corneal incision, under local anaesthesia. It may be carried out as a standalone intervention or combined with cataract surgery, where clinically appropriate.

Although ELIOS can help reduce eye pressure, it does not cure glaucoma or restore vision already lost. Regular monitoring remains essential to assess treatment effectiveness.

ELIOS uses a specialised excimer laser to create microscopic channels through the trabecular meshwork, allowing fluid to drain more effectively from the eye. Unlike treatments that rely on thermal energy, the excimer laser removes tissue with minimal heat transfer to surrounding structures.

The procedure is performed from inside the eye through a small corneal incision, under local anaesthesia. It may be carried out as a standalone intervention or combined with cataract surgery, where clinically appropriate.

Although ELIOS can help reduce eye pressure, it does not cure glaucoma or restore vision already lost. Regular monitoring remains essential to assess treatment effectiveness.

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Treatment Benefits Benefits

What are the benefits of ELIOS – Excimer Laser Trabeculostomy?

  • Minimally invasive: Uses a small incision and precise laser technology.
  • Improved fluid drainage: Helps lower intraocular pressure through the eye's natural drainage pathway.
  • No permanent implant: Creates drainage openings without leaving a device inside the eye.
  • Minimal thermal damage: Excimer laser technology limits heat transfer to surrounding tissues.
  • Flexible treatment option: May be performed independently or alongside cataract surgery.

How is it performed?

  • 1.Preparation: Local anaesthetic is administered to numb the eye and ensure patient comfort.
  • 2.Accessing the drainage system: The surgeon makes a small corneal incision to access the trabecular meshwork.
  • 3.Laser application: The excimer laser creates a series of microscopic openings in the trabecular meshwork to improve fluid outflow.
  • 4.Completion: The surgeon checks the treated area and eye before completing the procedure.
  • 5.Recovery and aftercare: Patients receive postoperative eye drops and attend follow-up appointments to monitor healing and intraocular pressure.
LaserVision-FAQ-Main

ELIOS may be suitable for patients with mild to moderate open-angle glaucoma who need additional control of their eye pressure. It may also be considered for individuals undergoing cataract surgery who would benefit from simultaneous glaucoma treatment. Your ophthalmic surgeon will assess your eye pressure, drainage angle, optic nerve health and medical history before recommending the procedure.

ELIOS is generally well tolerated, as local anaesthesia is used to numb the eye before treatment. Patients may experience mild pressure or discomfort during the procedure, but significant pain is not expected. Some temporary irritation, redness or blurred vision may occur afterwards and usually improves as the eye heals.

Recovery varies depending on the individual and whether ELIOS is combined with cataract surgery. Many patients can resume light everyday activities within a few days, although vision may initially be blurred. Your surgeon will provide specific guidance about driving, exercise, eye drops and activities to avoid during recovery.

ELIOS may reduce the number of glaucoma medications required, and some patients may be able to stop using certain drops. However, this is not guaranteed. The need for ongoing medication depends on how effectively the procedure lowers your eye pressure and the severity of your glaucoma. You should continue using prescribed drops unless your ophthalmologist advises otherwise.

As with any eye surgery, ELIOS carries some risks. These may include temporary inflammation, bleeding inside the eye, fluctuations in eye pressure or blurred vision. Less commonly, complications such as infection or damage to surrounding eye structures may occur. Your surgeon will explain the potential risks and expected benefits before treatment.

Clinical research has demonstrated encouraging results for ELIOS in patients with open-angle glaucoma. In a study involving 318 patients undergoing ELIOS alongside cataract surgery, 76.1% achieved at least a 20% reduction in unmedicated eye pressure at 24 months. Individual outcomes vary, and some patients may require additional medication or treatment to maintain adequate pressure control.

Choosing the right vision correction clinic for your surgery is paramount. This is a life changing procedure after all, and you need to have complete trust in your surgeon and care team of professionals.

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Choosing the right vision correction clinic for your surgery is paramount. This is a life changing procedure after all, and you need to have complete trust in your surgeon and care team of professionals.

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