What is Glaucoma Filtering surgery?
Glaucoma filtering surgery refers to a group of surgical procedures aimed at reducing intraocular pressure (IOP) in patients with glaucoma. The most common type of glaucoma filtering surgery is trabeculectomy, where a new drainage channel is created in the eye to allow fluid to drain out, thus lowering the pressure inside the eye. These surgeries are typically considered when medications and laser treatments fail to adequately control intraocular pressure or when the disease progresses despite treatment. It's important to discuss with an ophthalmologist to determine the most appropriate treatment approach based on the type and severity of glaucoma.
Why is Glaucoma Filtering Surgery Performed?
Glaucoma filtering surgery is performed to manage and reduce intraocular pressure (IOP) in patients with glaucoma. The surgery helps to create a new pathway for the fluid inside the eye (aqueous humor) to drain, thereby reducing the pressure. The primary reasons for performing this surgery include:
Ineffective Medications and Laser Treatments:
When medications (eye drops or oral medications) and laser treatments fail to sufficiently lower IOP.
Progressive Vision Loss:
Despite maximum medical therapy, if glaucoma continues to progress and causes further damage to the optic nerve.
Adverse Reactions to Medications:
If a patient experiences significant side effects or has an intolerance to glaucoma medications, making them unsuitable.
When is Glaucoma Filtering Surgery Recommended?
Glaucoma filtering surgery is recommended in several specific circumstances:
Advanced Glaucoma:
Patients with advanced stages of glaucoma, where there is a high risk of significant vision loss, may benefit from surgery to preserve remaining vision.
Uncontrolled Glaucoma:
When glaucoma remains uncontrolled despite the use of maximum tolerated medical therapy and/or laser treatments, surgery may be necessary.
Primary Open-Angle Glaucoma (POAG):
This common form of glaucoma often requires filtering surgery, such as trabeculectomy, when other treatments do not adequately control IOP.
How is Glaucoma Filtering surgery different from the conventional treatments?
Glaucoma filtering surgery represents a departure from conventional treatments such as medications and laser therapies due to its surgical nature and direct approach to managing intraocular pressure (IOP). Unlike medications that are administered topically or orally to reduce IOP by either decreasing aqueous humor production or increasing its outflow, and laser treatments that aim to improve the drainage of fluid within the eye through procedures like trabeculoplasty, filtering surgery involves a more invasive procedure aimed at creating a new route for fluid drainage.
How is life after Glaucoma Filtering surgery?
Life after glaucoma filtering surgery, such as trabeculectomy, can vary from person to person depending on several factors, including the success of the surgery, the severity of the glaucoma, and any complications that may arise. Life after glaucoma filtering surgery can often lead to improved intraocular pressure control and potentially stabilized vision. However, ongoing monitoring and adherence to medical advice are crucial for long-term eye health and management of glaucoma. Regular communication with your ophthalmologist will help ensure the best outcomes and quality of life after surgery.
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We have some of the best specialists from around the world, they bring years of experience and offer evidence-based treatment to ensure the best care for you.
FAQs
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What is trabeculectomy?
Trabeculectomy is a surgical procedure used to treat glaucoma by creating a new drainage channel to reduce intraocular pressure inside the eye.
How is trabeculectomy performed?
During trabeculectomy, a small flap is created in the sclera Underneath this flap, a tiny drainage hole is made to allow aqueous humor to drain out more effectively. This helps to lower intraocular pressure
When is trabeculectomy recommended?
Trabeculectomy is typically recommended when other treatments, such as medications or laser therapy, have not sufficiently lowered intraocular pressure or when the glaucoma is progressing despite treatment.
How effective is trabeculectomy in treating glaucoma?
Trabeculectomy is generally effective in lowering intraocular pressure and preventing further damage to the optic nerve. The success rate can vary depending on factors such as the type and severity of glaucoma, the surgeon's skill, and post-operative care.
