Glaucoma Surgery: What Are the Different Approaches?

The patient will undergo eye surgery.

When is glaucoma surgery necessary? Is laser treatment not enough? Cataract and glaucoma are both age-related vision problems. If you have these conditions, treatment for both issues is possible to do in one session. Nevertheless, glaucoma is one of the vision problems that are difficult to diagnose early without a proper eye checkup.

When is glaucoma surgery necessary? Is laser treatment not enough? Cataract and glaucoma are both age-related vision problems. If you have these conditions, treatment for both issues is possible to do in one session. Nevertheless, glaucoma is one of the vision problems that are difficult to diagnose early without a proper eye checkup.


What is Glaucoma?

Glaucoma is a collection of eye conditions that harm the optic nerve, the wellbeing of which is vital for good vision. Typically, this damage is because of an unusually high pressing factor in your eye.

This condition is one of the primary sources of visual loss for individuals beyond 60 years old. Glaucoma can happen at whatever stage in life yet is more usual in more established grown-ups.The doctor examines the eye of the patient.

Numerous types of glaucoma have no warning signs. The impact is steady to the point that you may not notice a change in vision until the condition is at a high-level stage.

You cannot recover vision loss from glaucoma. That is why it is crucial to have a standard eye exam that incorporates your eye pressure estimations. With this procedure, you can get an early diagnosis and proper treatment. If a doctor identifies glaucoma in its early stage, he can slow or prevent vision loss. In case you have the ailment, you will generally require treatment for the rest of your life.



Generally, glaucoma does not make any indications start with. It tends to grow gradually over numerous years and influences the sides of your vision first. Consequently, numerous individuals do not know they have glaucoma until they get a routine eye exam.

In case you do see any indications, they may incorporate blurred vision or seeing rainbow-hued circles around brilliant lights. Glaucoma can affect both eyes, although it might be more terrible in one eye.

Very occasionally, glaucoma can grow out of nowhere and cause:

  • blurred vision
  • a red eye
  • extreme eye pain
  • a headache
  • nausea and vomiting
  • tenderness around the eyes
  • seeing rings around lights


Types of glaucoma

Glaucoma surgery can be varied depending on the condition’s type since there are various kinds of glaucoma. Open-angle glaucoma is the most common type. This condition tends to grow gradually over several years. Open-angle glaucoma occurs when the drainage channels in the eye become clogged over time.

Different types of glaucoma incorporate:

Acute angle-closure glaucoma: It is an uncommon type brought about by the drainage in the eye-getting abruptly hindered, increasing the pressure within the eye rapidly.

Secondary glaucoma: This type is because of an underlying eye condition like eye inflammation called uveitis.

Congenital glaucoma: This type of glaucoma is a rare condition in very young children, brought about by an irregularity of the eye.


Treatments for Glaucoma

It is not possible to turn around any loss of vision that happened before glaucoma was diagnosed. However, treatment can support stop your vision from getting worse.

The treatment suggested for you will rely upon the kind of glaucoma you have, but the choices are:

eye drops: to decrease the pressing factor in your eyes

laser treatment: to uncover the obstructed drainage tubes or reduce the creation of liquid in your eyes

surgery: to progress the drainage of fluid

You will also likely need regular eye sessions to screen your condition and check the treatment is working correctly.


Types of Glaucoma Surgery

A doctor may recommend glaucoma surgery in rare situations where treatment with eye drops or laser has not been compelling.

The most popular type of glaucoma surgery is known as trabeculectomy. It includes eliminating part of the eye-drainage tubes to let the fluid drain more effectively.

Glaucoma surgery might be completed under local anesthesia or general anesthesia.

Most individuals will not require to have eye drops anymore after trabeculectomy. This surgery should not cause you a lot of pain.

Your doctor will examine which type of glaucoma surgery is right for you, as well as any dangers and advantages, before you will continue the procedure.

Different types of glaucoma surgery incorporate:



Like a trabeculectomy, however, a doctor used an electric current to eliminate a little piece of the eye-drainage tubes.



This procedure will remove the part of the white outer covering of the eyeball so that fluid can drain from your eye more without any problem.


Deep sclerectomy

With this procedure, the doctor will widen the drainage tubes in your eye sometimes by placing a small device inside them.


Trabecular stent bypass

The doctor will place a small tube into your eye to improve fluid drainage.


After a surgical procedure, your eye may water and be red. Your vision might also be somewhat obscured for about a month and a half but should get back to normal.

Individuals who have cataracts may require glaucoma surgery and cataract surgery at the same time. This is because performing glaucoma surgery alone may quicken the cataract symptoms. On the other hand, performing cataract surgery alone may bring down the intraocular pressure independently, yet this result is unpredictable, particularly in poorly controlled glaucoma with severe visual loss.


Glaucoma Surgery: When It is Necessary to Combine with Cataract Surgery?

The doctor carefully examines the eye of the patient before proceeding to the actual surgery.Your ophthalmologist will recommend a treatment that offers you the best opportunity for a better vision with minimal danger.

If getting glaucoma surgery and cataract surgery is ideal for you, your ophthalmologist will pick which kind of consolidated surgery to perform.

Here are a few reasons why your ophthalmologist may propose combined surgery:

Easier for you: One session in the operating room is more suitable and less stressful than getting an additional visit for another procedure.

Less danger: Risks with sedation are cut in half since you only have to get anesthesia once.

Stop medications: If glaucoma surgery is effective, you might have the option to diminish or even quit taking glaucoma meds. Numerous individuals think that it is difficult to use eye drops.

Keeping eye pressure stable after the procedure: Sometimes, after cataract surgery, eye pressure increases suddenly. This increase in eye pressure generally does not occur with the expansion of glaucoma surgery.

Lower cost: Getting two surgeries all at once is more affordable. If the glaucoma surgery is successful, you set aside cash by not requiring as much or any glaucoma medication.

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