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Interventional Glaucoma
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Glaucoma

From damage control to prevention: A new mindset

The future of glaucoma care isn't about more medications – it's about smarter, earlier interventions that can reduce or eliminate your need for daily eye drops.

Keeping up with daily medications can be challenging for some people. In fact, about half of all patients find it difficult to stick to their treatment plan because of simple things like forgetting, not fully understanding why the medication matters, or finding the drops inconvenient to use. When medications aren't used as prescribed, this can unfortunately lead to worsening of your condition and potential permanent vision loss.

The good news is, there's a new approach called Interventional Glaucoma, and our specialist, Dr. Paul Singh, is at the forefront of this modern strategy. At The Eye Centers of Racine and Kenosha, our main goal is simple: to protect your vision and help you maintain the best eyesight possible.

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We Focus on Patient Quality of Life.

Interventional glaucoma aims to minimize the burden of glaucoma treatment, including the need for daily medication, side effects, and long-term medication costs. Rather than starting with medications, the interventional glaucoma approach starts by focusing on effective procedures that provide long-term relief from the effects of glaucoma.

By beginning treatment with minimally invasive glaucoma surgery (MIGS) and laser therapy, we can lower intraocular pressure (IOP) and slow disease progression without relying solely on daily eye drops. This approach works particularly well for those with early to moderate glaucoma, helping preserve sight while reducing the burden of lifelong daily medications.

Many patients begin with SLT laser treatment. Research has found that starting with SLT helps maintain better vision, reduces the need for future surgeries, and enhances overall quality of life. While often used as a starting point, SLT can be beneficial during any stage of glaucoma care.

With Dr. Singh's expertise in interventional approaches, you can feel confident you're receiving the most advanced and patient-centered glaucoma care available today.

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The main elements

Early Intervention

We believe in addressing glaucoma at its earliest stages, before vision loss becomes significant. This proactive approach helps preserve your eyesight and provides better long-term outcomes.

Selective Laser Trabeculoplasty (SLT)

This non-invasive laser treatment serves as an excellent first-line option for many patients. SLT can effectively lower eye pressure and often reduces or eliminates the need for daily medications.

Direct Selective Laser Trabeculoplasty (DSLT)

DSLT delivers laser pulses directly to the trabecular meshwork to improve fluid outflow and lower intraocular pressure. DSLT is gaining popularity as a first-line treatment due to its effectiveness, safety, and ability to reduce medication burden.

Minimally Invasive Procedures

Our Minimally Invasive Glaucoma Surgery (MIGS) options, including innovative trabecular bypass devices, improve the natural drainage system of your eye. These procedures help lower eye pressure with minimal disruption to your daily life and faster recovery times.

Advanced Medication

We utilize sustained-release drug implants and other sophisticated delivery methods that place medication directly where it's needed. This option provides consistent treatment while freeing you from the daily routine of eye drops and improving overall treatment effectiveness.

DSLT
Specialties

Our Services

LASIK Vision

Cataract Surgery

Retina

Glaucoma

Corneal Inlay

Cosmetic Procedures

SLT & DSLT Treatments

SLT (Selective Laser Trabeculoplasty)

This laser procedure applies gentle energy to your eye's natural drainage system (the trabecular meshwork) to enhance fluid outflow and reduce eye pressure. During treatment, your glaucoma doctor will use a specialized lens that allows them to precisely target the drainage channels with the laser. SLT has become a cornerstone of modern glaucoma management due to its effectiveness and excellent safety profile.

DSLT (Direct Selective Laser Trabeculoplasty)

This innovative treatment delivers laser energy through the edge of your cornea (the limbus) directly to the drainage system. DSLT utilizes sophisticated eye-tracking technology to identify the precise treatment location and deliver consistent laser energy without direct contact with your eye. Patients often appreciate DSLT's advantages, including shorter procedure time, non-contact approach, and potentially less corneal irritation and inflammation compared to traditional methods.

Micro-Incisional Glaucoma Surgery (MIGS)

MIGS procedures represent a significant advancement in glaucoma care, designed with your comfort and convenience in mind. These techniques work by improving your eye's natural drainage system rather than creating artificial pathways, which means less disruption to your eye's delicate structures. If you have mild to moderate glaucoma, MIGS offers three key benefits: lower eye pressure that protects your vision, reduced need for daily prescription eye drops, and a recovery process that lets you return to normal activities sooner.

Is Interventional Glaucoma Right for You?

Interventional glaucoma treatments are best suited for:

  • Those with mild to moderate glaucoma who are seeking better pressure control
  • Individuals struggling with eye drop adherence or side effects
  • 
Patients undergoing cataract surgery who can benefit from combined MIGS

To determine if interventional glaucoma treatments are appropriate for your specific condition and needs, it’s best to schedule a comprehensive evaluation with Dr. Singh, who can assess your situation and discuss all available treatment options.

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A Better Way to Manage Glaucoma

Glaucoma treatment is evolving toward safer, procedure-focused approaches that reduce medication dependency. By embracing interventional glaucoma strategies, patients can effectively manage their condition with fewer daily medications, resulting in healthier eyes, reduced side effects, and a significantly enhanced quality of life.

Do you want to learn more about interventional glaucoma? Schedule an appointment at Eye Centers of Racine and Kenosha today!

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Understanding Glaucoma: The Sneak Thief of Sight

Glaucoma is an eye disease which is associated with a dangerous build up of pressure in the eye. Eventually, this pressure can damage the optic nerve which is responsible for relaying visual information to the brain. If Glaucoma goes untreated, peripheral vision will begin to decrease and can eventually cause total blindness. Fortunately, medical advances have made it easier to diagnose and treat glaucoma. If detected and treated early, glaucoma need not cause even moderate vision loss. But having glaucoma does mean regular monitoring and treatment for the rest of your life.

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Glaucoma Quick Facts
  • Glaucoma is the second leading cause of blindness in developed countries (NICOA.org website)
  • 50% of the 3 million Americans suffering from Glaucoma will have associated vision loss
  • More than 2.7 million Americans over age 40 have glaucoma. (NIH website)
  • The American Academy of Ophthalmology recommends this exam every one to two years for people who are age 65 and older. (American Academy of Ophthalmology
  • Dr. Paul Singh is a leading Interventional Glaucoma eye doctor, located in Wisconsin.   

Dr. I. Paul Singh

Dr. I. Paul Singh, a Wisconsin native, joined The Eye Centers of Racine and Kenosha, founded in 1981 by his father, Dr. Kanwar A. Singh, in 2004 as the areas only glaucoma specialist, graduating from the Duke University glaucoma fellowship program. Throughout his Ophthalmology career, Dr. I. Paul Singh has been involved with clinical research and has published papers in several ophthalmology journals. He has also presented his research at various national meetings and universities around the world. Dr. I. Paul Singh has a passion for advancing education and technology. He has brought several new technologies to the area, through adoption and research. Dr. Singh is the first ophthalmologist in the state of Wisconsin to implant many of the glaucoma devices including the iStent and Hydrus glaucoma drainage devices, perform viscodilation and trabeculotomy with the OMNI device, and goniotomy with the Kahook Dual Blade, and recently the Streamline and iAccess devices as well as the iTrack Advance. He was also first to utilize the supraciliary stents such as MiniJect and Alloflo.  Continuing the quest for advancing traditional glaucoma surgery, Dr. Paul was the first in Wisconsin to perform a subconjunctival bypass procedure using the Aqualumen device.

He was the first surgeon in Wisconsin to use novel drug delivery products for glaucoma and for inflammation, such as Durysta, Dextenza and Dexycu. He has also pioneered the use of in-office lasers to remove visually significant floaters. Recently, he set up the world’s first 3D heads up in office surgical suite. He enjoys giving lectures and teaching seminars around the globe to help other doctors adopt these and other newer technologies and techniques. Recently Dr. Singh was listed as one of the Top 100 ophthalmologists in the United States according to Newsweek magazine and was recently names on The Ophthalmologist to 10 list of Glaucoma specialists world wide.

Although Dr. I. Paul Singh is an ophthalmologist by profession, He is also a founding member of the band, Funkadesi, which mixes Indo-Afro-Caribbean styles of music. The band tours the world spreading the message “one family, many children.” Dr. I. Paul Singh is also an avid tennis player, playing four years in college, and continuing to play on USTA leagues today. He enjoys music and sports with his wife and three children at home. He often remarks, “Kids seem to put life in perspective.”

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What Our Patient's Say About Their Glaucoma Care Experiences

"Best doctors for cataract and glaucoma procedures. I have not had any problems at all since surgery 2 yrs ago. Dr Singh is the best."

Cathy Haubrich

"The absolute best there is. I cannot even begin to imagine anything better, because Dr. Paul and his team are perfect at what they do. I am beyond blessed to be in their care, and I trust the completely. They are some of the best people I have known."

Joseph Bowen

Locations

New Location as of 5/27/25

The Eye Center of Racine

13200 Globe Drive,
Suite 216
Mt Pleasant, WI 53177

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The Eye Center of Kenosha

Med Care West
9916 75th Street,
Suite 101
Kenosha, WI 53142

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