Glaucoma Surgery

Glaucoma surgery creates a new route for fluid to leave the eye, or improves the existing drain, so that the pressure inside the eye falls. It is used when drops and laser no longer keep pressure at a safe level.

The aim is to protect the vision you still have by slowing further optic nerve damage. It does not bring back sight already lost, and it will not make your vision sharper. Some people still need drops afterwards.

What Glaucoma Surgery involves

The plan starts with pressure measurements, a visual field test, an OCT scan of the optic nerve and examination of the drainage angle. In trabeculectomy, the surgeon lifts a small flap in the white of the eye under the upper lid and removes a tiny piece of drainage tissue beneath it. Fluid then seeps under the flap into a small blister, called a bleb, hidden under the lid. An anti-scarring medicine such as mitomycin C is applied so the channel stays open, and fine stitches close the flap; these can be loosened or removed later to adjust the flow. In tube surgery, a soft silicone tube is placed in the front of the eye and connected to a plate stitched further back. Minimally invasive devices are inserted through a tiny corneal cut, often together with cataract surgery.

Who is a good candidate for Glaucoma Surgery?

Your glaucoma specialist suggests surgery when the risk of losing vision outweighs the risks of operating.

• Pressure that stays too high despite the maximum drops you can tolerate
• Visual field or nerve scans that keep worsening at your current pressure
• People who cannot use drops because of allergy, side effects or difficulty putting them in
• Mild to moderate glaucoma with a cataract, where a minimally invasive device can be added to cataract surgery

Es ist normalerweise nicht die richtige Wahl, wenn:

• Glaucoma that is stable and well controlled on drops or after laser
• People who cannot attend the frequent checks needed in the first weeks
• Active inflammation or infection of the eye surface
• Anyone expecting the operation to improve or restore lost vision

Technikoptionen

• Trabeculectomy: The long-established operation with the greatest pressure lowering. Used for advanced or fast-progressing glaucoma.
• Tube shunt (drainage implant): Chosen after failed trabeculectomy, in scarred eyes, or in neovascular and inflammatory glaucoma.
• Minimally invasive glaucoma surgery (MIGS): Tiny stents or channel procedures with a gentler safety profile and a more modest effect. Often combined with cataract surgery.
• Cyclodiode laser: Reduces fluid production. Mostly reserved for eyes where drainage surgery has failed or is unsuitable.

Was passiert während Ihrer Behandlung

Trabeculectomy and tube surgery take about 45 to 90 minutes under local anaesthetic with sedation, or general anaesthetic. MIGS adds about 10 to 15 minutes to cataract surgery. You should not feel pain, only touch and pressure. Most people go home the same day with a pad and shield, and are seen the next morning.

Vorbereitung auf Ihre Reise

Plan for 2 to 3 weeks for trabeculectomy in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

Vision is commonly blurred for 2 to 6 weeks while the pressure settles. The first month matters most: the surgeon checks pressure often and may adjust stitches, massage the eye or inject anti-scarring medicine. You use steroid and antibiotic drops for 2 to 3 months. Avoid bending, straining, heavy lifting and swimming for about 4 weeks. After MIGS, recovery is similar to cataract surgery.

• Back to everyday activity: 2 to 4 weeks
• When results show: Pressure stabilises over 1 to 3 months
• How long they last: Often years; some need repeat surgery

Sicherheit, Risiken und Revisionspolitik

These are operations on an eye that is already damaged, and the healing response is unpredictable, so honest discussion of risk is essential.

• Pressure falling too low (hypotony), which can blur vision and may need further treatment
• Scarring that closes the new channel, so pressure rises again and more surgery or drops are needed
• Infection of the bleb or inside the eye, which can occur even years later
• Faster development of cataract
• Bleeding inside the eye, rarely severe
• A sudden loss of remaining central vision in very advanced glaucoma
• Discomfort or awareness of the bleb, or double vision after tube surgery

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Glaucoma Surgery in Türkiye

Clinic-Y does not publish a single price for Glaucoma Surgery, because the honest figure depends on your case. What moves it:

• The type of operation: trabeculectomy, tube implant or MIGS device
• The cost of the implant or stent itself
• Whether it is combined with cataract surgery
• Type of anaesthesia and whether an overnight stay is needed
• How many post-operative visits and adjustments are included

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