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Glaucoma Specialist in Buffalo, NY
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What Is Glaucoma?
Glaucoma is a group of eye diseases that damage the optic nerve, most often due to increased pressure inside the eye (called intraocular pressure or IOP). Over time, this pressure can lead to permanent vision loss. At Buffalo Ophthalmology, we specialize in diagnosing and treating glaucoma at all stages—with the goal of protecting your vision before damage occurs.
Glaucoma is one of the leading causes of blindness in people over 60, and early diagnosis is critical. Many patients are surprised by their diagnosis, and for good reason:
Often Has No Symptoms
It’s known as the “silent thief of sight” because it can develop without warning.
It Progresses Gradually
Left untreated, glaucoma steadily worsens and becomes more difficult to manage with each stage.
Can Lead to Permanent Vision Loss
Vision loss from glaucoma is permanent. There is no way to restore sight once it’s gone, making early detection essential.
Why Glaucoma Requires a Specialist
There’s no one-size-fits-all approach to glaucoma. With multiple disease types and a wide range of treatment options, it takes experience to manage them effectively. That’s why working with a glaucoma specialist is so important.
Our glaucoma care is led by Deepan Selvadurai, M.D., one of the nation’s most experienced MIGS surgeons and a recognized leader in glaucoma innovation. His background includes hands-on device development, clinical research, and one of the highest surgical case volumes in the country.
Our glaucoma team offers:
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Fellowship-level expertise in complex glaucoma cases
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Advanced diagnostic testing for early and accurate detection
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Access to the full spectrum of medical, laser, and surgical treatments
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Long-term, personalized care plans focused on preserving your vision
In addition, Ausra Selvadurai, M.D., provides expert support for complex cases involving uveitis, diabetic retinopathy, macular edema, or retinal vascular occlusions.
A fellowship-trained retina specialist from Bascom Palmer Eye Institute, Dr. Selvadurai, brings advanced imaging, intravitreal therapy, and medical retina expertise to our glaucoma team. Her diagnostic precision and collaborative approach help ensure that patients with coexisting conditions receive seamless, specialized care under one roof.
How Buffalo Ophthalmology Approaches Glaucoma Treatment
Whether your optometrist has referred you or you are seeking a second opinion, we begin with a comprehensive evaluation. From there, we build a personalized treatment plan based on your diagnosis, lifestyle, and the stage of disease progression.
Our glaucoma treatments in Buffalo are focused on lowering eye pressure, improving fluid drainage, and slowing or halting vision loss.
Medicated Eye Drops
Often, the first step for early-stage glaucoma is medicated eye drops. These drops either reduce the eye’s fluid production or improve fluid drainage to lower pressure.
Laser Procedures
Laser treatments are used to enhance drainage and reduce IOP with minimal recovery time.
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Selective Laser Trabeculoplasty (SLT): Stimulates the eye’s natural drainage system.
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Laser Iridotomy: Creates a small opening in the iris to relieve pressure in angle-closure glaucoma.
Trabeculectomy
This surgical procedure creates a new drainage pathway by forming a small flap in the white of the eye (called the sclera). Fluid drains into a small reservoir under the conjunctiva, lowering pressure. In some cases, we may use an EX-PRESS® shunt to increase control and safety.
Shunts, Stents, and Valves
These microscopic devices are implanted to improve fluid drainage in more advanced cases. We use a wide range of options, including:
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Ahmed®, BAERVELDT™, and ClearPath® glaucoma valves
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iStent®, Hydrus®, and CyPass®
Minimally Invasive Glaucoma Surgery (MIGS)
Buffalo Ophthalmology was the first in Western New York to offer the OMNI® Surgical System. This groundbreaking MIGS device treats all three major drainage pathways: the trabecular meshwork, Schlemm’s canal, and episcleral veins.
Dr. Selvadurai is not only one of the top performing OMNI® surgeons in the country—he also played a hands-on role in the device’s prototype development. With one of the highest OMNI® case volumes nationwide and extensive experience using the AlloFlo suprachoroidal shunt, Dr. Selvadurai brings unmatched expertise to each procedure.
This drop-free treatment uses a biodegradable implant to deliver long-lasting medication directly to the eye. It offers sustained IOP control without the need for daily eye drops—an excellent option for patients with medication intolerance or adherence challenges.
Ready to Take Control of Glaucoma?
Glaucoma can’t be reversed—but with early diagnosis and expert care, it can be controlled. At Buffalo Ophthalmology, we combine advanced technology with years of experience to manage this complex disease and protect your sight for the future.