Treating Glaucoma is a common problem, and it is one of the most important eye disorders, so you need the best and most skilled hands from Turkish doctors to perform it.
What is the operation of treating blue water in the eye - glaucoma?
The process of treating blue water in the eye or glaucoma is one of the common operations carried out daily, and it is one of the most important methods of treating glaucoma in the eye, and it needs special care for the sensitive visual tissue to achieve the best success rate for the glaucoma process, and to reduce the cost of performing the operation in the most important ophthalmology specialized clinics for glaucoma surgery in Turkey.
An overview of Glaucoma
The eye is in constant production of aqueous humor (a transparent, watery, plasma-like liquid that provides nutrition to the components of the eye in its anterior section and maintains intraocular pressure in this section constant), this aqueous humor needs to be drained, and this drainage happens through Schlemm's Canal.
Located at the corneal scleral junction (above where the cornea joins the sclera), the Schlemm's canal drains the aqueous humor and maintains pressure balance in the anterior eye.
Any defect or deficiency in the discharge of this aqueous mixture (whatever the cause), will cause a rise in intraocular pressure and this will affect the optic nerve.
Glaucoma causes chronic and progressive damage to the optic nerve (the optic nerve is the bundle of nerve fibers that carry visual messages from the retina to the brain) that may lead to blindness.
The main cause of blindness due to glaucoma, as we mentioned, is high intraocular pressure, which causes damage to the optic nerve that may not be reversible.
About 80 million people suffer from Glaucoma and it is the most common cause of blindness in the elderly.
Types of Glaucoma
Glaucoma can be divided into two main categories, primary glaucoma (if the cause is unknown), and secondary glaucoma (if the cause is known).
It is the most common type as most cases are of unknown cause, and we mention several sub-types for this type:
This is the most common type of primary and secondary glaucoma, and it occurs gradually, as the eye does not drain the aqueous humor as it should (such as blocked drainage). As a result, the eye pressure increases and begins to damage the optic nerve. This type of glaucoma is painless and does not cause changes in vision at first.
Its danger comes here, as the patient does not feel any pain at first, and does not come to the doctor until his eyesight begins to decline, and he may come with his sight completely lost.
Closed-angle glaucoma is an emergency condition that requires emergency medical intervention to save the eye and save the eyesight.
In this type of glaucoma, the outer edge of the iris (the colored part of the eye) prevents fluid (aqueous humor) from draining from the front of the eye, and the fluid builds up rapidly, causing a sudden increase in intraocular pressure.
If not treated, closed-angle glaucoma can cause blindness within a few days.
It appears in newborns, and it is a rare disease that is not often seen.
These children usually have trouble draining the fluid in the anterior section of the eye.
They are caused by other diseases, whether ocular or systemic. We mention some of the sub-types:
It is caused by the formation of new blood vessels in the eye where fluid drains (Schlemm's canal).
It is a condition that often arises from other medical conditions such as high blood pressure or diabetes.
Pigmentary glaucoma occurs when pigment (color) oozes from the iris (the colored part of your eye) and these pigment particles prevent fluid drainage.
Young white men who are nearsighted are more likely to have pigmentary glaucoma. People with this glaucoma often see blurry or see rainbow-colored rings around lights, especially when exercising.
Surgery for Glaucoma
Surgeryfor glaucoma in the eyeis a procedure designed to reduce intraocular pressure in an attempt to preserve the optic nerve and stabilize vision and prevent future loss.
If eye drops or oral medications don't treat the condition adequately, your doctor may recommend glaucoma surgery.
The goal of treating glaucoma surgically is to make a new opening to drain fluid from the eye (or by implanting a shunt to help drain fluid). Surgical treatment of glaucoma can lower eye pressure and help stabilize vision for a very long time, but regular follow-up is always required.
When is the treatment of Glaucoma necessary?
Most cases of glaucoma can be controlled using eyedrops and medications. Usually one medication or sometimes several medications is used. Surgery may be the best and most effective in certain cases.
Many patients with glaucoma fail to use and maintain their eye drops as directed, as a result of which the need for surgical treatment increases.
Types of Glaucoma surgical operations in Turkey
There are many glaucoma treatments, the best and most famous doctors in Turkey will assess your condition individually and help you decide the best option for you.
Minimally invasive glaucoma surgery (MIGS) in Turkey
Doctors often prefer minimally invasive glaucoma procedures over other surgeries.
Minimally invasive surgery has fewer side effects and complications than other glaucoma surgeries, such as trabeculoplasty (however, in some cases, some people need to perform conventional glaucoma surgeries, despite the higher incidence of complications).
The minimally invasive glaucoma operation requires making small and microscopic incisions to increase the outflow of aqueous humor from the eye. The trabecular meshwork is a network of tissues located in the anterior chamber between the cornea, the iris and the ciliary body and it is responsible of draining the aqueous humor from the eye into the blood circulation. and if this meshwork happens to be blocked somehow, eye pressure would rise to dangerous levels.
Minimally invasive glaucoma surgery aims to reduce pressure by creating new passages through or around the trabecular meshwork using small shunts or stents to allow the aqueous humor to drain from the eye more easily.
Types of (MIGS) operations include the following:
- Microtrabeculectomy (minimally invasive procedure).
- Implant a small stent in the trabecular network.
- some laser procedures.
In microtrabeculectomy, small tubes are inserted into the drainage angle to open the blocked channels to drain the aqueous humor from the anterior chamber to the bottom of the thin outer membrane (conjunctiva) that covers the white of the eye (sclera).
Modern devices make microtrabeculectomy safer.
The laser glaucoma process called Selective laser trabeculoplasty is the first line of surgical treatment for open-angle glaucoma, with laser beams we create small holes that allow fluid in the eye to drain better and reduce intraocular pressure.
This procedure can be performed in an ophthalmologist's office or athospitalAccording to the latest studies, glaucoma laser surgery can reduce intraocular pressure by 20-30%. success rate About 80%.
These results may not be permanent and this treatment can be repeated safely more often.
Trabeculectomy for the treatment of Glaucoma
This is the most important operation, causing a significant reduction in intraocular pressure. In this procedure, a piece of the trabecular meshwork is removed to increase the outflow of aqueous humor.
The surgeon cuts a part of the conjunctiva that covers the sclera near the junction of the cornea and the sclera and makes a flap of the sclera. Then the specialist folds this flap back and a small piece of the trabecular meshwork and the iris is removed to make a valve in the anterior chamber of the eye, then this flap is returned to the Back to sew in place with fine nylon sutures, allowing aqueous humor to drain into the subconjunctival.
The conjunctiva is sutured again in place to cover the area and absorb the escaping aqueous humor after trabeculectomy, a small bubble forms under the conjunctiva where this valve was made. By adjusting the trabeculectomy sutures, the surgeon can control the speed of water drainage and adjust the pressure inside the eye as required.
Trabeculectomy is performed on the upper part of the eye under the upper eyelid, so these bubble and incisions are not visible to the patient or to others.
This procedure is done to treat closed-angle glaucoma. The eye surgeon uses a laser to create small holes in the vicinity of the iris to allow water to drain through. This procedure is called irisotomy.
These procedures are used to reduce the risk of developing closed-angle glaucoma into acute glaucoma, a painful condition in which intraocular pressure increases rapidly. It is an emergency situation that requires rapid intervention to prevent blindness or loss of vision.
In general, the success rate of the blue water operation in Turkey has increased, andAccording to the latest studies, The success rate of glaucoma operations ranges from 80% to approximately 100% depending on the procedure performed.
Complications of Glaucoma surgery
Like any other operation, the glaucoma operation carries a degree of risk.
Performing the operation in Ophthalmology specialized hospital supplied withLatest technology Under the supervision of the most important doctors helps preventing these complications, which can include:
- Feeling of redness and pain in the eye.
- Irritation of the cornea.
- Eye pressure remains high.
- Low intraocular pressure.
- Symptoms of inflammation or infection.
- high risk of getting Cataracts.
- In rare cases, vision loss with different levels.
Recovery after Glaucoma surgery and what to avoid
The period required for recovery varies according to the type of treatment, it may range from several days to two or three weeks. Recovery is quick in minimally invasive procedures, and most surgeries require several days to recover.
After the glaucoma operation, the pressure in the eye is low, as a result, the doctor recommends avoiding extreme bending during the first week.
Also, most people can resume daily activities such as reading, watching TV, or using cell phones or computers within the first few days after glaucoma.
After glaucoma surgery, it is possible to take a shower early, provided that protection for the eyes (shield or glasses) is used to prevent shaking or rubbing the eyes.
After surgical treatment of glaucoma, the ophthalmologist advises you to stay away from the following activities within two weeks such as running or lifting weights, you should avoid any activities that may cause infection or inflammation of the eyes such as swimming or using hot tubs, reusable contact lenses, applying makeup around the eyes or face cream.