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Academician Bigeldiyev’s leading centre · 70,000+ surgeries

Laser iridotomy and trabeculoplasty for glaucoma

A narrow drainage angle means a risk of a sudden spike in eye pressure. The laser makes a passage less than a millimetre wide in the iris, and fluid can leave the eye freely again. No incision, in one visit.

100,000 ₸per eye · iridotomy or trabeculoplasty

First an exam and gonioscopy: 20,000 ₸ per visit and 10,000 ₸ for both eyes.

Dr. Karibayev at the ZEISS VISULAS YAG III laser with a patient, RB CLINIC
ZEISS VISULAS YAG III laser at RB CLINIC
Karibayev Sayatin ophthalmology since 1996

100,000 ₸ per eye

Zhukeyev SagatKazakh Research Institute of Eye Diseases

100,000 ₸ per eye

Laser iridotomy in brief

Laser iridotomy is a procedure in which a laser makes a microscopic opening at the edge of the iris so that the fluid inside the eye can reach the eye’s drainage by bypassing the pupil. It is done for a narrow or closed anterior chamber angle and for angle-closure glaucoma. In open-angle glaucoma the laser works differently: micropulse trabeculoplasty helps the eye’s drainage let fluid through. At RB CLINIC (Astana, 12 Orynbor St) both procedures cost 100,000 ₸ per eye and are performed by laser surgeons Karibayev Sayat Aralovich and Zhukeyev Sagat Serikovich. Before the laser — an exam (20,000 ₸ per visit) and gonioscopy (10,000 ₸ for both eyes). Booking: +7 771 848 00 00 (WhatsApp), Mon–Sat 9:00–19:00.

How it works

What the laser changes in the drainage angle

Fluid flows inside the eye all the time: it’s produced behind the iris and leaves through a drain in the angle between the iris and the cornea. If the angle is narrow, the outlet narrows too, like a sink half-covered by a plug: water keeps coming, but it struggles to drain away.

cornea iris lens eye drainage

Move the slider: before and after the laser

Narrow angleAfter the laser

The angle is narrow. The iris bulges forward and is almost pressed against the cornea at the drain. Fluid struggles to get out, and pressure can spike within hours.

This is a diagram of a cross-section of the eye, not a scan. The doctor will see your angle at gonioscopy.

Two procedures, two cases

Who needs iridotomy and who needs trabeculoplasty

Which laser you need depends on the shape of the angle, not on the pressure reading. That’s why before the laser the doctor always looks at the angle with a lens. This is gonioscopy, and it takes a few minutes.

Narrow or closed angle

Laser iridotomy

  • gonioscopy shows a narrow angle: a risk of a glaucoma attack;
  • angle-closure glaucoma;
  • there has already been an attack in one eye: the other eye is usually protected with a laser in advance;
  • long-sightedness and a large lens that narrow the angle.

Open angle

Micropulse trabeculoplasty

  • open-angle glaucoma, pressure above target on drops;
  • drops are poorly tolerated or hard to use on schedule;
  • the doctor wants to lower the pressure without adding new drops.

Don’t stop your drops on your own after the laser: only the doctor changes the regimen.

Don’t wait for an appointment

Call straight away if

  • the eye and the same side of the head suddenly start to hurt;
  • the eye has turned red and vision has become foggy;
  • there are rainbow halos around lights, and you feel sick.

This is what an acute glaucoma attack looks like: the pressure must be brought down the same day. At night and on Sundays — call an ambulance, 103.

+7 771 848 00 00

From the exam to the laser

How laser iridotomy works

The laser works through the cornea: no incision, no stitches and no eye patch. You sit at the device just as at a regular exam, and go home the same day.

  1. Exam and gonioscopyThe doctor measures the pressure and looks at the angle of the eye through a special lens. If needed, they’ll add OCT or a visual field test.
  2. DropsBefore iridotomy you get drops that narrow the pupil and stretch the iris, plus anaesthetic drops.
  3. LaserA contact lens is placed on the eye, and the doctor aims the laser at the edge of the iris. You’ll see flashes and hear clicks; the procedure takes a few minutes.
  4. Pressure checkSome time after the laser the doctor measures the pressure again and prescribes drops for a few days. The follow-up exam is on the day the doctor names.
Dr. Zhukeyev at the slit lamp in an RB CLINIC room
Gonioscopy is done at a slit lamp: the doctor sees the angle of the eye through a lens with a mirror

Prices from the price list

How much laser iridotomy costs in Astana

Iridotomy and micropulse trabeculoplasty at RB CLINIC are 100,000 ₸ each per eye, the same price with both doctors. If both eyes need the laser, they’re usually done one after the other, and each eye is paid for separately.

Laser iridotomyKaribayev S. A., Zhukeyev S. S.100,000 ₸ per eye
Micropulse trabeculoplastyfor open-angle glaucoma100,000 ₸ per eye
Laser surgeon consultationwith a back-of-the-eye exam20,000 ₸ per visit
Gonioscopyexamining the angle of the eye with a lens10,000 ₸ for both eyes
Anterior segment OCTif the doctor orders it10,000 ₸ for both eyes
Kaspi.kzKaspiKaspi instalments with no overpayment for 12 months, with Kaspi Juma — up to 24 months.

The price list is not a public offer: the administrator will confirm the price again when you book.

All clinic prices

Laser surgeons

Who does glaucoma laser treatment at RB CLINIC

Two laser surgeons, one price. Both have been treating glaucoma patients for years: they look at the angle, do the laser and then check the pressure themselves at follow-ups. More about the condition on the glaucoma treatment page.

Karibayev Sayat Aralovich, ophthalmologist, laser surgeon at RB CLINIC

Karibayev Sayat Aralovich

Ophthalmologist, laser surgeon

In ophthalmology since 1996. Treats glaucoma, the retina and secondary cataract with laser: looks at the angle, does the laser and personally monitors the pressure at follow-ups.

in ophthalmology since 1996 · residency at the Kazakh Research Institute of Eye Diseases

100,000 ₸ per eye

About Dr. Karibayev
Zhukeyev Sagat Serikovich, ophthalmologist, laser surgeon at RB CLINIC

Zhukeyev Sagat Serikovich

Ophthalmologist, laser surgeon

Laser eye treatment and laser vision correction. Explains things simply: what kind of angle you have, which laser you need and what happens afterwards.

residency at the Kazakh Research Institute of Eye Diseases, 2019–2022

100,000 ₸ per eye

About Dr. Zhukeyev

Doctor 1 of 2 · swipe sideways

Reviews on Yandex and Google Maps

What people write about our glaucoma doctors

People left these reviews themselves, on Yandex and Google Maps — where we can’t delete or change a single word. Newest first, quoted as written.

Ayzada I.★★★★★2026

От имени родственников пациента благодарим врачей и персонал клиники за профессионализм и заботу.
Лечение глаукомы прошло успешно, состояние под контролем.
Очень довольны качеством помощи, рекомендуем

Karina E.★★★★★2026

Прекрасная клиника с сильными специалистами!
Проходили лечение глаукомы, обследование и лечение были организованы на высоком уровне, использовались современные методы и оборудование.
Состояние стабилизировалось, получили чёткие рекомендации для дальнейшего наблюдения.
Спасибо за качественную помощь и внимательное отношение к пациентам❤️

Arzu Yu.★★★★★4 November 2026

Екі жыл бұрын клиникада Доктор Галиевке операция жасаттық
Шүкір Аллаға бәрі сәтті өтті . Докторға алғысымыз шексіз. РБ клиникаға барғанымызға еш өкінбейміз. Кликаның мамандары өте білікті және білімді . Сыпайылықтары ерекше бір әлем😊.
Доктор Галиев , Доктор Жукеев біздің Қазақстанда сіздердей маман барына қуаныштымын❤️

Sultan Zh.★★★★★1 November 2026

Спасибо Сагату Сериковичу, специалист своего дела!

Svetlana★★★★★30 October 2026

хочу выразить благодарность своему доктору Жукееву Салату Сериковичу за профессионализм и внимательность и врачу аппаратного кабинета за внимательное отношение!

Deri T.★★★★★2026

… Сначала мне провели лазерную коагуляцию (зашили разрыв и отслоение сетчатки). Отдельная благодарность хирургу Саяту Араловичу за эмоциональную поддержку, юмор и высокий уровень работы!
Спустя месяц после этого мне сделали долгожданную коррекцию зрения методом Relex smile …

Aruzhan Sh.★★★★★2026

Мне сделали лазерную коррекция зрения ПО Релекс Смайл RB CLINIC.Cпасибо Жукееву Санат Сериковичу …

Swipe sideways

A narrow angle — don’t put it off

Book an exam of the drainage angle

Write to us on WhatsApp: what your previous doctor said and which drops you use. The administrator will find a time with Karibayev or Zhukeyev.

  1. Exam and gonioscopy
  2. Decision: which laser, and whether you need one
  3. The laser on a day that suits you
Gonioscopy 10,000 ₸ for both eyesLaser 100,000 ₸ per eye

If you don’t need the laser — we’ll tell you.

Questions

Questions about laser iridotomy

What is laser iridotomy?

It’s a laser procedure for a narrow drainage angle and angle-closure glaucoma. The laser makes an opening less than a millimetre wide at the edge of the iris, and the fluid inside the eye reaches the eye’s drainage by bypassing the pupil. There are no incisions.

How much does laser iridotomy cost in Astana?

At RB CLINIC it’s 100,000 ₸ per eye, and micropulse trabeculoplasty costs the same. Before the laser — a consultation at 20,000 ₸ per visit and gonioscopy at 10,000 ₸ for both eyes.

How is iridotomy different from trabeculoplasty?

Iridotomy opens a narrow angle by making a passage in the iris. Trabeculoplasty works with an open angle: the laser acts on the eye’s drainage so that it lets fluid through better. Which one you need, the doctor will decide from the gonioscopy.

Does the laser hurt?

The eye is numbed with drops. Usually you feel clicks and see flashes of light, sometimes a brief tingling. If it becomes unpleasant, tell the doctor — they’ll pause.

Can I stop my glaucoma drops after the laser?

Not on your own. The laser helps fluid drain, but whether you still need drops is decided by the doctor based on the pressure at follow-up exams. Glaucoma is monitored for life, and the laser doesn’t change that.

Can both eyes be done on the same day?

More often the eyes are done one after the other, so that one eye always sees well. What will happen in your case, the doctor will tell you at the exam. The price is per eye: 100,000 ₸ per eye.

Who does glaucoma laser treatment at RB CLINIC?

Laser surgeons Karibayev Sayat Aralovich (in ophthalmology since 1996) and Zhukeyev Sagat Serikovich. Iridotomy is done on a ZEISS VISULAS YAG III laser.

See also

RB CLINIC, Astana, 12 Orynbor St · +7 771 848 00 00 · Directions

100,000 ₸ per eye · glaucoma laser