Trabeculectomy Surgery: Restoring Vision and Managing Intraocular Pressure
At LJEI Patiala, we understand the challenges faced by glaucoma patients, and our expert ophthalmologists specialize in trabeculectomy surgery, a gold-standard procedure for lowering intraocular pressure (IOP) and preventing further vision loss.
This in-depth guide explains everything you need to know about trabeculectomy—how it works, who benefits from it, what to expect during and after surgery, and why LJEI Patiala is the best choice for your glaucoma care.
What is Trabeculectomy Surgery?
Trabeculectomy is a microsurgical glaucoma procedure designed to create a new drainage pathway for the aqueous humor (the fluid inside the eye). When glaucoma damages the eye’s natural drainage system, fluid builds up, increasing intraocular pressure (IOP) and risking optic nerve damage.
How Does Trabeculectomy Work?
- A small flap is created in the sclera (the white outer layer of the eye).
- A tiny opening is made beneath this flap to allow excess fluid to drain out.
- A filtering bleb (a small, concealed fluid reservoir) forms under the conjunctiva (the clear membrane covering the eye), helping regulate fluid outflow.
- The surgeon carefully adjusts the flap to control drainage speed, ensuring optimal pressure reduction.
Who is a Candidate for Trabeculectomy?
Trabeculectomy is typically recommended for patients with:
- Uncontrolled glaucoma despite maximum medical therapy (eye drops, oral medications).
- Progressive vision loss due to persistently high IOP.
- Advanced glaucoma where other treatments (like laser trabeculoplasty) have been ineffective.
- Certain secondary glaucomas (e.g., uveitic glaucoma, neovascular glaucoma).
However, it may not be suitable for patients with:
- Severe conjunctival scarring (from previous surgeries or infections).
- Extremely thin corneas.
- Active eye infections or inflammation.
The Trabeculectomy Procedure: Step-by-Step
Before Surgery
- A comprehensive eye exam is performed to assess glaucoma severity.
- You may need to stop certain medications (like blood thinners) before surgery.
- Antibiotic eye drops may be prescribed to prevent infection.
During Surgery
- Anesthesia – Local anesthesia (numbing drops & injections) is used; general anesthesia may be an option for some patients.
- Creating the Flap – A small, partial-thickness flap is made in the sclera.
- Removing the Trabecular Meshwork – A tiny piece of the eye’s clogged drainage tissue is removed.
- Iridectomy (Optional) – A small part of the iris may be removed to improve fluid flow.
- Bleb Formation – The conjunctiva is repositioned to create a filtering bleb, hidden under the eyelid.
- Suturing – The scleral flap is stitched loosely to regulate fluid drainage.
Recovery & Post-Operative Care
Immediately After Surgery
- A protective eye shield is placed to prevent accidental rubbing.
- Mild discomfort, redness, and blurred vision are normal.
- Pain relievers (if needed) and antibiotic/steroid eye drops are prescribed.
First Few Weeks
- Avoid heavy lifting, bending, or straining (can increase eye pressure).
- No swimming or dusty environments (risk of infection).
- Attend all follow-up visits to monitor IOP and bleb function.
Long-Term Care
- The bleb must remain functional for continued success.
- Some patients may need additional procedures (e.g., bleb needling) if scarring occurs.
- Lifelong glaucoma monitoring is essential, even if pressure is controlled.
Why Choose LJEI Patiala for Trabeculectomy?
LJEI Patiala is a leading eye care institution known for its excellence in glaucoma treatment and surgery. Here’s why patients trust us for Trabeculectomy:
- Highly Experienced Glaucoma Specialists: Our team of expert ophthalmologists specializes in Trabeculectomy and other advanced glaucoma treatments. With years of experience and expertise, they ensure precise surgical intervention and optimal results.
- State-of-the-Art Technology: We incorporate cutting-edge diagnostic tools and surgical equipment to perform Trabeculectomy with the highest level of accuracy and safety. Our advanced microsurgical techniques minimize complications and enhance post-surgical outcomes.
- Personalized Treatment Plans: Every patient at LJEI Patiala receives a customized treatment approach based on the severity of their glaucoma, medical history, and individual needs. This ensures the best possible outcome for vision preservation.
- Comprehensive Post-Surgical Care: Successful glaucoma management requires continuous follow-ups and post-surgical care. Our team provides detailed guidance on medication use, eye protection, and lifestyle adjustments to ensure a smooth recovery and long-term stability of IOP.