Abstract: A glaucoma needle is provided which combines goniopuncture with cautery for perpetuating a fistula in the sclera of the eye. The needle comprises a hollow casing forming a point, electrically activated thermal means which generate a thermal heat band on the casing, the band extending radially from the center of the casing and connector means for attaching the thermal means to a power supply. In the method of this invention the glaucoma needle is passed through the clear cornea, across the anterior chamber to the opposite anterior chamber angle and then out at the limbus to form a goniopuncture which is cauterized by the application of heat from the thermal heat zone created by the needle.