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PostHeaderIcon Glaucoma Surgery

Glaucoma is a leading cause of blindness in the U.S. It occurs when the pressure inside the eye rises, damaging the optic nerve and causing vision loss. Some cases have normal or near normal eye pressures.  The condition often develops over many years without causing pain or other noticeable symptoms – so you may not experience vision loss until the disease has progressed.

Sometimes symptoms do occur. They may include:

  • Blurred vision
  • Loss of peripheral vision
  • Halo effects around lights
  • Painful or reddened eyes

People at high risk include those who are over the age of 40, diabetic, near-sighted, African-American, or who have a family history of glaucoma.

To detect glaucoma, your physician will test your visual acuity and visual field as well as the pressure in your eye. Regular eye exams help to monitor the changes in your eyesight and to determine whether you may develop glaucoma.

Once diagnosed, glaucoma can be controlled and further vision loss can be prevented. Treatments to lower pressure in the eye include non-surgical methods such as prescription eye drops and medications, laser therapy, and surgery.

Did You Know?

  • Glaucoma is one of the most common major eye disorders in people over age 60.
  • It is responsible for 15 percent of blindness in adults in the United States.
  • Chronic glaucoma often causes no symptoms until late in the disease when it has already caused severe and irreversible damage to vision.
  • Early diagnosis and treatment are the most important factors in preventing visual impairment from glaucoma.

Glaucoma is usually detected only by regular, routine eye examinations so don't put off your routine eye exams just because you have no symptoms (especially if there is a family history of the disorder or you are taking any cortisone-containing medications).  Note: some asthma inhalers and cortisone-containing medications can dangerously increase eye pressures.

The Surgery

Some cases of glaucoma can be treated with medications. For others, laser or traditional surgery is required to lower eye pressure. Common surgeries can include:

  • Laser Peripheral Iridotomy (LPI) – For patients with narrow-angle glaucoma. A small hole is made in the iris to increase the angle between the iris and cornea and encourage fluid drainage.
  • Selective Laser Trabeculoplasty (SLT) – An advanced laser system that improves the flow of fluid in the eye, lowering eye pressure for patients with glaucoma.
  • Filtering Microsurgery (Trabeculectomy) – For patients who have not been helped with laser surgery or medications. A new drainage passage is created by cutting a small hole in the sclera (the white part of the eye) and creating a collection pouch between the sclera and conjunctiva (the outer covering of the eye).
  • Tube Shunt Surgery – May be recommended for patients with neovascular glaucoma, failed trabeculectomy, or susceptibility to developing scar tissue. A thin, flexible tube (a shunt) with a silicone pouch is inserted in the eye to facilitate drainage.