If you’re facing the prospect of glaucoma surgery, call us at Retina Associates of Orange County to discuss your options with a Newport Beach eye surgeon. Our acclaimed ophthalmologists are board certified and experienced vitreoretinal surgeons.
There are two main types of glaucoma surgery that an eye surgeon in Newport Beach may use. One is laser surgery in which a focused beam of high intensity light is used to make precise cuts. Another method of performing glaucoma eye surgery is incisional, or conventional surgery. In this type of surgery, a Newport Beach eye surgeon uses small surgical tools.
Conventional Eye Surgery
Many types of eye surgery, such as glaucoma, are done using conventional means. When drainage holes need to be made in order drain fluid, conventional, or incisional surgery, may be used to allow intraocular fluid to flow out of an artificial drainage pathway.
- Laser surgery is not always effective in lowering eye pressure
- If eye pressure rises again post-laser surgery, a Newport Beach eye surgeon may opt for follow-up conventional eye surgery
- When needed, glaucoma surgery can safely be performed on the patient several more times in addition to the original surgery
Filtering surgery is a type of conventional eye surgery that is sometimes used if laser surgery and medication does not sufficiently lower eye pressure. The procedure is known as a sclerostomy or trabeculectomy.
- A very small hole is made in the white part of the eye, known as the sclera.
- The hole allows fluid to drain from the eye. This in turn reduces pressure on the eye.
- The procedure reduces or prevents damage to the optic nerve in the eye.
For most patients, conventional eye surgery is painless.
- Intravenous sedation is often chosen for the anesthesia to numb the surgical areas.
- Eye movement is prevented by the use of a local anesthetic and medication. This is injected behind or around the eye but done after intravenous sedation so that the patient does not feel it.
Glaucoma Surgery Success Rate
On average, during the one year period post-surgery, glaucoma filtering surgery is 70%-90% effective. Your Newport Beach eye surgeon can tell you if you’re a good candidate for surgery. When it’s ineffective, it’s usually because of these reasons:
- The surgical hole may begin to close which increases pressure on the eye
- The body may interpret the hole as an injury and try to close it, which most often happens among younger patients because their healing ability is stronger
- Mitomycin-C and 5-FU, as well as other anti-wound healing drugs, can slow the healing process to keep the hole open for as long as possible
- Sometimes it’s necessary to perform the surgery several times on the same eye
After the Surgery
Most of the time, filtering surgery is an outpatient procedure. For this reason, patients usually don’t have to stay in the hospital overnight following the surgery. Typically, an eye surgeon Newport Beach patients go to for this procedure will do a follow up exam within a few days after surgery.
- Eye pressure will be checked
- The doctor will look for any increase in inflammation
- The doctor will check for any signs of infection
The eye must be kept dry for at least a week after the surgery. Strain on the eye must be avoided, which often means:
- No driving
- No heavy lifting
- No bending
- No reading
If your doctor has recommended eye surgery, you may want to speak with a trusted eye surgeon for confirmation and another opinion. Our physicians on staff at Retina Associates of Orange County are some of the most respected surgeons in the country. Call us today to request an appointment with a Newport Beach eye surgeon who you can trust.