Glaucoma Surgeries

Glaucoma Surgeries

Introduction

Glaucoma is a progressive eye condition that damages the optic nerve, often due to increased intraocular pressure (IOP). If left untreated, it can lead to permanent vision loss. Various treatment options, including medications, laser treatments, and surgeries, help manage the disease.

For those requiring surgical intervention, glaucoma surgeries offer effective ways to lower IOP and prevent further damage. If you are looking for the Best Eye Hospital in Hosur Main Road, consult Dr. Shiva Prasad Kakarla, a renowned Eye Doctor in Bangalore, specializing in glaucoma treatment and surgeries.

This article will provide an in-depth overview of glaucoma surgeries, their types, benefits, and what to expect before and after the procedure.

When is Glaucoma Surgery Needed?

• Medications or laser therapy fail to control IOP.
• Glaucoma progresses despite treatment.
• Severe optic nerve damage is detected.
• High IOP levels threaten vision.
• Patient compliance with medications is a challenge.

Types of Glaucoma Surgeries

Trabeculectomy

Trabeculectomy is the most common traditional glaucoma surgery, where a small drainage flap is created to allow excess aqueous humor (fluid) to drain out, reducing IOP.

• Suitable for open-angle glaucoma.
• Creates a new drainage channel.
• Long-term IOP control.
• Reduces the need for medications.

Glaucoma Drainage Implants (Tube Shunt Surgery)

In cases where trabeculectomy fails or is not suitable, a glaucoma drainage device (tube shunt) is implanted to drain fluid and control eye pressure.

• Ideal for severe or refractory glaucoma.
• Uses a tiny silicone tube for continuous drainage.
• Minimizes scarring.
• Effective for pediatric and secondary glaucoma.

Minimally Invasive Glaucoma Surgery (MIGS)

MIGS procedures involve tiny stents or implants to improve fluid drainage with minimal risk and faster recovery.

• Suitable for mild to moderate glaucoma.
• Less invasive than traditional surgery.
• Faster healing with fewer complications.
• Can be combined with cataract surgery.

Laser Glaucoma Surgeries

Laser procedures are non-invasive and effective in reducing IOP by enhancing drainage.

• Selective Laser Trabeculoplasty (SLT) – Targets drainage tissues to improve outflow.
• Argon Laser Trabeculoplasty (ALT) – Helps widen drainage channels.
• Laser Peripheral Iridotomy (LPI) – Creates a small hole in the iris to treat angle-closure glaucoma.
• Cyclophotocoagulation – Used in advanced glaucoma to reduce fluid production.

Benefits of Glaucoma Surgery

• Effective IOP reduction – Surgery provides better long-term pressure control than medications alone.
• Reduced dependence on eye drops – Many patients require fewer or no medications after surgery.
• Prevention of vision loss – Helps preserve remaining vision and prevents further damage.
• Improved quality of life – With stable vision, patients can maintain daily activities with ease.
• Customized treatment options – Different surgical techniques tailored to individual patient needs.

What to Expect Before Surgery

• Comprehensive eye examination by Dr. Shiva Prasad Kakarla to determine the best surgical approach.
• Pre-operative medications to control intraocular pressure.
• Discuss potential risks and benefits with your doctor.
• Temporary medication adjustments (if necessary) before surgery.

The Surgical Procedure

Most glaucoma surgeries follow these steps:

• Local or general anesthesia is given to ensure comfort.
• A small incision is made in the eye.
• A drainage channel or implant is placed to regulate fluid flow.
• The incision is closed with sutures (if needed).
• A protective eye shield is placed post-surgery.

Recovery and Post-Surgery Care

• Mild discomfort and blurred vision may occur initially.
• Use prescribed eye drops to prevent infection and inflammation.
• Avoid strenuous activities, bending, and heavy lifting for a few weeks.
• Regular follow-ups with Dr. Shiva Prasad Kakarla to monitor healing and IOP levels.
• Full recovery typically takes several weeks to months.

Risks and Complications

• Infection or inflammation – Prevented with medications.
• Temporary vision disturbances – Improve as the eye heals.
• Scarring or drainage failure – May require additional treatment.
• Low eye pressure (hypotony) – Can be managed with follow-up care.

Choosing the Right Doctor for Glaucoma Surgery

When seeking a skilled Eye Doctor in Bangalore for glaucoma treatment, choosing an experienced surgeon is crucial. Dr. Shiva Prasad Kakarla is a trusted Eye Specialist in Krishna Nagar Layout, offering:

• Advanced diagnostic tools for precise glaucoma detection.
• Expertise in all types of glaucoma surgeries.
• Personalized treatment plans based on patient needs.
• High success rates with patient satisfaction.
• State-of-the-art facilities at the Best Eye Hospital in Hosur Main Road.

Frequently Asked Questions (FAQs)

Conclusion

Glaucoma surgeries offer effective solutions for controlling intraocular pressure and preventing vision loss. If you or a loved one has been diagnosed with glaucoma, consult Dr. Shiva Prasad Kakarla for expert guidance at the Best Eye Hospital in Hosur Main Road.