What is Trabeculectomy?

At Blue Fin Vision® Eye Clinic in London, we understand that the prospect of eye surgery can be daunting. However, for many patients with glaucoma, a procedure called trabeculectomy can be a sight-saving intervention. In this comprehensive guide, we’ll explore what trabeculectomy is, why it’s performed, and what you can expect from this advanced surgical treatment.

Understanding Trabeculectomy

Trabeculectomy is a type of glaucoma surgery designed to lower the intraocular pressure (IOP) inside the eye. It’s typically recommended when other treatments, such as eye drops or laser therapy, haven’t been successful in managing glaucoma effectively.

The Basics of the Procedure

During a trabeculectomy, an eye surgeon creates a new drainage channel in the eye. This allows excess fluid (aqueous humour) to drain from the eye, reducing the intraocular pressure. The procedure involves:

  1. Creating a small flap in the sclera (the white part of the eye)
  2. Making a tiny opening under this flap
  3. Forming a reservoir (called a bleb) under the upper eyelid where the fluid can collect before being absorbed by the body

Why is Trabeculectomy Performed?

Trabeculectomy is primarily used to prevent further vision loss in patients with glaucoma. It’s important to understand that while the procedure can effectively lower eye pressure, it cannot restore vision that has already been lost due to glaucoma damage.

Key reasons for recommending trabeculectomy include:

  • Inadequate IOP control with medications or laser treatments
  • Progression of glaucoma despite other interventions
  • Intolerance to glaucoma medications
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The Trabeculectomy Procedure: What to Expect

At Blue Fin Vision® Eye Clinic, we ensure our patients are well-informed about every step of their treatment journey. Here’s what you can expect from a trabeculectomy procedure:

Before the Surgery

  • A thorough eye examination and discussion of your medical history
  • Instructions on managing your current medications
  • Advice on fasting if general anaesthesia is to be used

During the Surgery

  • The procedure is typically performed as an outpatient surgery
  • Local anaesthesia is most common, though general anaesthesia may be used in some cases
  • The surgery usually takes about an hour to complete

After the Surgery

  • A pad and shield will be placed over your eye
  • You’ll be given instructions on post-operative care, including new eye drops to use
  • Follow-up appointments will be scheduled to monitor your recovery

Benefits of Trabeculectomy

Trabeculectomy offers several significant benefits for glaucoma patients:

  • Effective IOP Reduction: Studies show that trabeculectomy can successfully lower eye pressure in a high percentage of patients.
  • Long-term Solution: The effects of trabeculectomy can last for many years, often reducing or eliminating the need for glaucoma medications.
  • Vision Preservation: By lowering IOP, trabeculectomy helps prevent further damage to the optic nerve and preserve remaining vision.

Potential Risks and Complications

As with any surgical procedure, trabeculectomy carries some risks. At Blue Fin Vision® Eye Clinic, we believe in full transparency about potential complications, which may include:

  • Infection
  • Bleeding inside the eye
  • Temporary or permanent vision changes
  • Very low eye pressure (hypotony)
  • Cataract formation or progression

It’s important to note that serious complications are rare, and our experienced surgeons take every precaution to minimise risks.

Recovery and Aftercare

Recovery from trabeculectomy is a gradual process. Here’s what you can expect:

  • Initial Recovery: Vision may be blurry for several weeks after surgery.
  • Activity Restrictions: You’ll need to avoid strenuous activities and heavy lifting for a few weeks.
  • Eye Drops: You’ll use antibiotic and anti-inflammatory eye drops as prescribed.
  • Follow-up Visits: Regular check-ups are crucial to monitor your eye pressure and healing progress.

Long-term Outlook

Trabeculectomy has a good track record of long-term success. Research indicates that after 20 years:

  • About 60% of patients maintain good IOP control without additional medications
  • Approximately 90% achieve successful IOP control with or without additional eye drops

However, individual results can vary based on factors such as age, type of glaucoma, and overall eye health.

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Why Choose Blue Fin Vision® Eye Clinic for Your Trabeculectomy?

When considering trabeculectomy, choosing the right eye clinic is crucial. At Blue Fin Vision® in London, we offer:

  • Expertise: Our surgeons are highly skilled in performing trabeculectomy and other glaucoma surgeries.
  • Advanced Technology: We use state-of-the-art equipment for precise and safe procedures.
  • Personalised Care: We tailor our approach to each patient’s unique needs and circumstances.
  • Comprehensive Support: From initial consultation to long-term follow-up, we provide continuous care and support.

Conclusion: A Step Towards Preserving Your Vision

Trabeculectomy represents a significant advancement in glaucoma treatment, offering hope to patients who haven’t found success with other therapies. At Blue Fin Vision® Eye Clinic, we’re committed to providing this advanced treatment with the utmost care and precision.

If you’re struggling with glaucoma management or have been advised to consider trabeculectomy, don’t hesitate to reach out to us. Our expert team is here to answer your questions and provide the highest standard of eye care. Remember, early intervention is key in preserving your vision. Contact Blue Fin Vision® Eye Clinic today to schedule a consultation and take the first step towards optimal eye health.

With the right care and expertise, trabeculectomy can be a turning point in your glaucoma management, helping to safeguard your precious gift of sight for years to come.

Schedule Your Consultation Today

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