iStent

iStent is an advanced Minimally Invasive Glaucoma Surgery to reduce eye pressure safely with iStent; a tiny implant designed to improve fluid drainage and preserve vision, often performed at the time of cataract surgery.

FDA Approved

Advanced Technology

iStent at a Glance

iStent is a minimally invasive glaucoma implant that enhances natural fluid outflow to help lower intraocular pressure (IOP), one of the key factors in glaucoma progression.

iStent implantation (MIGS)

Transparent pricing with full aftercare support; finance options discussed during consultation

Specialist glaucoma and cataract surgeons with access to advanced diagnostics

London, Surrey, Sussex

Key Benefits

What is iStent?

iStent is a tiny glaucoma implant, one of the smallest medical devices used in modern surgery, designed to improve the eye’s natural drainage of aqueous fluid. In glaucoma, the eye’s drainage channels can become inefficient, causing fluid build-up and increased pressure. iStent creates a permanent micro-bypass through the trabecular meshwork, enhancing fluid outflow and helping to lower intraocular pressure.

 

iStent is typically implanted at the same time as cataract surgery through the same tiny incision. The device is positioned in Schlemm’s canal, allowing fluid to bypass resistance in the drainage system and flow more freely. This helps reduce pressure over the long term, protecting the optic nerve and slowing glaucoma progression.

 

At Centre for Sight, iStent is performed by consultant ophthalmologists with specialised expertise in glaucoma and cataract surgery, ensuring safe, predictable outcomes tailored to your individual case.

Types of MIGS Performed at Centre for Sight

1

iStent / iStent inject

A microscopic implant placed into the eye’s natural drainage channel (Schlemm’s canal) to improve fluid outflow and lower eye pressure. Commonly performed alongside cataract surgery in patients with mild to moderate open-angle glaucoma.

2

A flexible, scaffold-like implant inserted into Schlemm’s canal that both bypasses resistance and gently dilates the natural drainage pathway. Hydrus is designed to provide more extensive coverage of the canal than a single stent and is often chosen for patients who require greater pressure reduction at the time of cataract surgery.

3

A laser-based MIGS procedure that creates precise micro-channels in the trabecular meshwork to enhance aqueous outflow. ELIOS requires no implants and preserves the eye’s natural anatomy, making it an attractive option for patients undergoing cataract surgery.

4

While not implant-based MIGS, selective laser trabeculoplasty (SLT) and direct SLT (DSLT) are often used alongside or prior to MIGS to reduce eye pressure non-invasively by improving trabecular meshwork function.

Comparing MIGS and Glaucoma Treatment Options

Please note that your consultant will recommend the most suitable treatment option tailored to your eye health, vision goals and lifestyle.

Procedure
Type

How it works

Best For

Pros

Cons

Procedure
Type

iStent/iStent Inject

How it works

Micro-bypass stent improves trabecular outflow via Schlemm’s canal

Best For

Mild–moderate open-angle glaucoma with cataract

Pros

Proven safety profile; reduces drop burden; quick recovery

Cons

Pressure reduction may be modest in some patients

Procedure
Type

Hydrus Microstent

How it works

Scaffold dilates and supports Schlemm’s canal while bypassing resistance

Best For

Mild–moderate glaucoma needing greater pressure reduction

Pros

Broader canal coverage; effective IOP lowering

Cons

Implant-based; usually combined with cataract surgery

Procedure
Type

SLT

How it works

Laser stimulates trabecular meshwork to improve drainage

Best For

Early glaucoma or ocular hypertension

Pros

Non-invasive; repeatable; no implants

Cons

Effect may diminish over time

Procedure
Type

DSLT

How it works

Automated, non-contact laser treatment

Best For

Early or first-line glaucoma treatment

Pros

Comfortable; quick; no contact lens

Cons

Not suitable for all eye anatomies

What Are the Benefits & Risks of iStent?

Your surgeon will speak with you about the benefits and risks involved before your procedure.

Frame 35 2

Benefits of iStent:

Low-risk, minimally invasive implant

Improved IOP control with less medication

Can be combined with cataract surgery

Rapid visual recovery

Long-term device permanence

Frame 35 3

Risks/side effects (not exhaustive):

May not achieve pressure levels of more invasive surgery

Some patients continue to require drops

Rare risks: transient inflammation, stent positioning issues, need for additional treatment

Not Sure If You're Eligible?

Book a comprehensive eye examination to better understand your vision and available treatment options.

Who Is Suitable for iStent?

Your surgeon will speak with you about your suitability prior to carrying out the procedure.

Frame 35 4

iStent may be suitable if you:

Have mild to moderate open-angle glaucoma

Are undergoing or have cataract surgery

Want to reduce reliance on glaucoma medications

Need better pressure control with a favourable safety profile

Have suitable eye anatomy confirmed by diagnostics

Frame 35 5

Suitability is assessed through comprehensive glaucoma evaluation, including IOP measurement, optic nerve imaging and angle assessment.

Costs and Finance Options

Centre for Sight offers transparent, fixed pricing for iStent including consultant-led surgery, laser-assisted precision, anaesthetic care, and comprehensive aftercare.Consultation: from £465 (This covers specialist assessment and advanced diagnostics and is required before treatment.)


Additional Procedures

ELIOS Laser Vision

Bespoke Price

Per Eye

Consultant-led combined cataract and glaucoma treatment

Excimer laser–assisted micro-channels to improve fluid drainage

No implants or permanent devices

Preserves natural eye anatomy

24-hour emergency support

Structured post-operative follow-up

iStent

Bespoke Price

Per Eye

Consultant-led glaucoma surgery

iStent / iStent inject implant

Advanced diagnostics and surgical planning

Often performed with cataract surgery

24-hour emergency support

Structured one-year follow-up

SLT and DSLT

Bespoke Price

Per Eye

Consultant-led glaucoma laser treatment

Clinically proven pressure-lowering laser

Outpatient, non-invasive procedure

May reduce or replace glaucoma eye drops

24-hour emergency support

Post-treatment monitoring and follow-up included

Flexible Finance Options

Private Medical Insurance

Many of our Consultants work with all the major insurance providers*

Self Pay

Pay in full for patients who prefer a straightforward approach

0% APR Financing

6-24 month finance options. Credit is provided subject to affordability, age and status. Minimum spend applies.

Military Discount

5% discount for active military and veterans

*Private Medical Insurance is unlikely to cover Laser Eye Surgery Procedures, Implantable Contact Lenses, or Laser Lens Replacement

*Private Medical Insurance is unlikely to cover Laser Eye Surgery Procedures, Implantable Contact Lenses, Laser Lens Replacement or any other cosmetic procedures.

FAQs

Below you will find answers to some of the most common questions patients ask about iStent, to help you understand your options and what to expect.

iStent is used to lower eye pressure in open-angle glaucoma, often combined with cataract surgery.

No — the procedure is performed under local anaesthetic with minimal discomfort.

Many patients reduce or stop glaucoma drops, but some may still need medication.

iStent is usually best for mild to moderate glaucoma. More advanced cases may need traditional surgery.

Have Questions?

Our patient care team is here to answer any questions you may have.

Patient Success Stories

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Centre for Sight DSLT Glaucoma Procedure

Centre for Sight Virtual Tour

Certifications & Recognition

The Power List 2026

Global Top 50: Mr. Sheraz Daya

Top 1% Surgeons

National recognition

CQC Accredited

Highest safety standards

5-Star Rated

Patient satisfaction