High frequency deep sclerotomy (is a modern surgical method of choice for the treatment of open angle glaucoma , which main features and benefits are innovation and minimal invasiveness .


Intervention is easily applicable and practically painless and is performed under local anesthetic drops.

Intervention achieves a significant reduction in intraocular pressure / IOP / with open angle glaucoma . Using high power bipolar radio - frequency, forming a six-point deep sclerotomy that significantly reduce runoff resistance of aqueous humor from the anterior chamber .


Target areas for the application of deep sclerotomy are primarily located in the nasal part of iridocorneal corner, opposite of temporal corneal incision , which is the place of entry of the probe into the eye.


The intervention can be successfully combined with cataract surgery ( phacoemulsification ) , after positioning the intraocular lens and pupil constriction , at the end of the intervention. Also, HFDS can be easily used as a single procedure . The intervention is performed in the local anesthetic drops , it is practically painless and is performed with the use of modern viscoelastic substances and probes of superior quality .


The procedure is suitable for patients because it is done as a one day surgery. As a rule , one intervention solves the problem of the existence of elevated intraocular pressure . In rare cases when six openings of deep sclerotomy are not sufficient for the regulation of intraocular pressure , implantations may be repeated .

Some of the advantages HFDS intervention is also short duration of the project , the success of the dominant majority of patients , the current efficiency and long-lasting effect of lowering intraocular pressure , as well as a very rare complication. Results are immediate and eye pressure usually continues to decline during the next six months.


European ten-year follow-up studies of lasting control of intraocular pressure after application of this method shows that the vast majority of cases , about 80 % , achieves stabilization and normalization of intraocular pressure without additional therapy with antiglaucomatous drops or other treatment .

Future of ophthalmology is in minimally invasive surgery , whether it be about glaucoma , cataract or retinal surgery , a small surgical incision reduces the period of rehabilitation and improves the chance to meet the patient's wishes and expectations


Experienced surgical team of Milmedic Clinic , led by Prof. Dr. Miroslav Vukosavljević guarantes success of this method .