Treatment Overview
Laser Sclerostomy in Korea is a minimally invasive glaucoma procedure that uses precise laser energy to create a tiny drainage opening through the sclera, allowing aqueous humor to bypass the natural outflow pathways and reduce intraocular pressure (IOP). This alternative approach is especially valuable for patients who cannot undergo traditional incisional surgery.
Korean glaucoma specialists use advanced holmium:YAG, erbium:YAG, and excimer laser systems to perform laser sclerostomy with exceptional precision. With AI-assisted depth control, OCT-guided targeting, and micro-thermal safety algorithms, Korea provides one of the safest environments for laser-based glaucoma filtration procedures.
Purpose & Benefits
Purpose
- Create a controlled outflow pathway through the sclera to lower IOP.
- Provide an alternative to trabeculectomy for early or intermediate disease stages.
- Reduce reliance on long-term glaucoma medications.
- Lower the risk of optic nerve damage caused by elevated IOP.
Benefits
- Minimal Tissue Disruption: Laser energy creates the opening without full incisions.
- High Precision: Depth and location controlled with imaging and AI algorithms.
- Fast Procedure: Typically done within minutes.
- Lower Risk Profile: Reduced bleeding and scarring compared to traditional surgery.
- Repeatable: Procedure can be performed again if necessary.
- Quick Recovery: Minimal postoperative downtime.
Ideal Candidates
Laser sclerostomy in Korea is ideal for:
- Patients with mild to moderate open-angle or angle-closure glaucoma.
- Individuals who have not responded sufficiently to medications or SLT.
- Patients seeking a less invasive alternative to trabeculectomy.
- Those with anatomical or medical limitations that make incisional surgery risky.
- Individuals needing pre-surgical IOP reduction before cataract or MIGS procedures.
Possible Risks & Complications
Although very safe, laser sclerostomy may involve:
- Transient inflammation or redness
- Minor bleeding
- Temporary blurred vision
- Short-term IOP fluctuations
- Risk of closure of the laser-created channel
- Rare risk of excessive filtration or hypotony
Korean clinics minimize complications using real-time imaging, precise energy calibration, and postoperative anti-scarring protocols.
Types of Laser Sclerostomy in Korea
Holmium:YAG Laser Sclerostomy
Uses thermal, high-energy pulses to create a drainage opening through the sclera.
Excimer Laser Sclerostomy
Provides non-thermal tissue ablation for greater control and minimal collateral effects.
Erbium:YAG Laser Sclerostomy
Combines precision with controlled thermal effect for efficient penetration.
Segmental Sclerostomy
Targets specific high-resistance areas to maximize outflow.
360° Assisted Laser Sclerostomy
Creates broader drainage zones for advanced or stubborn cases.
Surgical Techniques
OCT-Guided Targeting
Ensures accurate mapping of scleral thickness and ciliary body position.
AI-Modulated Laser Energy
Automates pulse adjustments for controlled tissue penetration.
Scleral Micro-Channel Creation
Laser creates a precise opening allowing fluid to bypass the trabecular meshwork.
Epi-Scleral Filtration Zone Formation
Encourages natural fluid absorption without forming a large bleb.
Post-Laser Anti-Scarring Protocol
Use of medications to maintain long-term channel patency.
Treatment Process in Korea
Step 1 – Comprehensive Evaluation
OCT imaging, gonioscopy, IOP testing, visual field assessment, and scleral mapping.
Step 2 – Surgical Planning
Determines laser type, depth, location, and opening size.
Step 3 – Laser Sclerostomy Procedure
Laser energy applied to create drainage micro-openings through the sclera.
Step 4 – Immediate Postoperative Care
Anti-inflammatory drops administered and IOP monitored.
Step 5 – Follow-Up Monitoring
Regular checks ensure opening patency and pressure stability.
Treatment Duration: 5–10 minutes
Setting: Outpatient laser suite
Recovery & After-Care
After-Care Guidelines
- Use anti-inflammatory eye drops for 1–2 weeks.
- Avoid eye rubbing and physical strain.
- Follow medication adjustments provided by the ophthalmologist.
- Protect eyes from bright light initially.
- Attend all follow-up visits.
Recovery Timeline
- Days 1–3: Mild redness or irritation; early IOP reduction begins.
- Week 1: Vision stabilizes; inflammation diminishes.
- Weeks 2–4: Channel patency confirmed; pressure stabilizes.
- Months 1–3: Long-term drainage effect established.
Results & Longevity
Expected Results
- Significant and sustained reduction in IOP.
- Reduced need for glaucoma medications.
- Improved drainage function and optic nerve protection.
- Excellent safety and comfort compared to traditional surgery.
Longevity
- Effects may last 1–5 years depending on tissue healing.
- Can be safely repeated or transitioned to MIGS if needed.
- Korean anti-fibrotic techniques extend durability.
Why Korea Is a Top Destination
- Leaders in laser-based glaucoma filtration procedures.
- Advanced imaging (OCT, UBM) ensures precise targeting and safe outcomes.
- AI-driven laser delivery improves accuracy and reduces risk.
- Low complication rates due to refined protocols.
- Comprehensive glaucoma care providing long-term follow-up and combination planning.
Unique Korean Innovations
- AI-guided depth control for personalized laser penetration.
- Predictive modeling of scleral healing response.
- Hybrid excimer + holmium laser techniques.
- Anti-scarring optimization to keep channels open longer.
- Real-time thermal monitoring during laser application.
Cost Range (Indicative Estimate)
| Treatment Package | Price (KRW) | Approx. USD | Inclusions |
|---|---|---|---|
| Standard Laser Sclerostomy | ₩600,000 – ₩1,000,000 | ~$450 – $750 | Single laser opening + follow-up |
| Excimer Precision Sclerostomy | ₩1,000,000 – ₩1,800,000 | ~$750 – $1,350 | Non-thermal laser + imaging |
| Advanced Multi-Channel Sclerostomy | ₩1,500,000 – ₩2,500,000 | ~$1,150 – $1,900 | Multiple drainage channels + extended aftercare |
Popular Clinics in Korea
- B&VIIT Eye Center (Seoul) – Experts in advanced laser-based glaucoma surgery.
- Dream Eye Center (Seoul) – Leaders in excimer and YAG sclerostomy techniques.
- BGN Eye Clinic (Busan & Seoul) – Specialists in imaging-guided glaucoma procedures.
- Glory Seoul Eye Clinic – Known for precision sclerostomy and OCT targeting.
- K-Cure Vision Center (Gangnam) – Innovators in AI-assisted laser filtration surgery.
