Trabeculectomy

Trabeculectomy

Introduction

Glaucoma is a serious eye condition that can lead to irreversible vision loss if not managed effectively. It is primarily caused by an increase in intraocular pressure (IOP), which damages the optic nerve. While medications and laser treatments are available, surgical intervention becomes necessary in advanced cases. One of the most effective glaucoma surgeries is trabeculectomy.

If you are seeking expert glaucoma treatment at the Best Eye Hospital in Hosur Main Road, consult Dr. Shiva Prasad Kakarla, a leading Eye Doctor in Bangalore, specializing in trabeculectomy and glaucoma management.

What is Trabeculectomy?

Trabeculectomy is a surgical procedure designed to create a new drainage pathway for aqueous humor (fluid inside the eye), thereby reducing IOP and preventing further optic nerve damage.

• Highly effective for open-angle and closed-angle glaucoma.
• Creates an alternative drainage route for excess eye fluid.
• Long-term IOP control with reduced dependence on medications.
• Performed when other treatments fail to manage eye pressure adequately.

Who Needs Trabeculectomy?

Trabeculectomy is recommended for patients who:

• Have severe or progressive glaucoma.
• Have high intraocular pressure (IOP) that cannot be controlled with medications or laser therapy.
• Experience continued optic nerve damage despite treatment.
• Have difficulty adhering to prescribed eye drops.
• Require a permanent solution to manage IOP.

The Trabeculectomy Procedure

Dr. Shiva Prasad Kakarla, a renowned Eye Specialist in Krishna Nagar Layout, follows advanced techniques to ensure a safe and effective trabeculectomy. Here is what the procedure entails:

1. Pre-Surgery Preparation

• Comprehensive eye evaluation to assess glaucoma severity.
• Discontinuation of certain eye drops before surgery (as advised by the doctor).
• Discussion about risks, benefits, and post-surgery expectations.
• Local or general anesthesia is administered to ensure patient comfort.

2. The Surgical Process

• A small incision is made in the sclera (white part of the eye).
• A trapdoor-like flap is created to allow excess fluid to drain.
• A small bleb (fluid reservoir) is formed under the upper eyelid.
• The incision is sealed with tiny sutures to regulate drainage.
• The eye is covered with a protective shield post-surgery.

Benefits of Trabeculectomy

Undergoing trabeculectomy at the Best Eye Hospital in Hosur Main Road offers several advantages:

• Significant reduction in intraocular pressure.
• Long-term protection against vision loss.
• Decreased reliance on glaucoma medications.
• Minimal pain and discomfort after the procedure.
• Highly effective in controlling moderate to advanced glaucoma.

What to Expect After Surgery

• Mild discomfort and blurred vision in the initial days.
• Use of prescribed eye drops to prevent infection and inflammation.
• Avoidance of strenuous activities such as bending, heavy lifting, and rubbing the eyes.
• Regular follow-up appointments with Dr. Shiva Prasad Kakarla to monitor eye pressure and healing progress.
• Complete healing takes around 4-8 weeks, depending on individual recovery.

Risks and Complications

Although trabeculectomy is a safe and effective procedure, like any surgery, it carries certain risks:

• Infection or inflammation – Prevented with prescribed antibiotics and steroids.
• Temporary blurred vision – Improves as healing progresses.
• Excessively low eye pressure (hypotony) – Managed with additional treatment if necessary.
• Scarring of the drainage area – May require revision surgery in rare cases.
• Cataract development – Possible in some cases but can be treated later.

Comparing Trabeculectomy with Other Glaucoma Surgeries

• Trabeculectomy vs. Laser Surgery: Trabeculectomy is more effective in cases where laser surgery has failed.
• Trabeculectomy vs. Drainage Implants: Implants are used when trabeculectomy is not successful or suitable.
• Trabeculectomy vs. MIGS (Minimally Invasive Glaucoma Surgery): MIGS is less invasive but may not be as effective for severe glaucoma.

Frequently Asked Questions (FAQs)

Conclusion

Trabeculectomy is a highly effective glaucoma surgery that helps preserve vision and control intraocular pressure. If you have been diagnosed with glaucoma and require surgical intervention, consult Dr. Shiva Prasad Kakarla at the Best Eye Hospital in Hosur Main Road.

For expert care and long-term glaucoma management, book an appointment with a trusted Eye Specialist in Krishna Nagar Layout today!