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Trabeculectomy

Trabeculectomy is a type of glaucoma surgery offered by OCL. Here we give you more details about what it is, what to expect from the procedure and after it, pricing and the possible complications.

If you have questions about trabeculectomy surgery and the options that are available for you, please call us on 0203 369 2020, or request a call back.

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100
years
of combined eye
surgery experience
45k
plus
eye surgeries
completed
550
plus
lectures nationally
and internationally

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If you would like to know more about the procedures available or would like to discuss glaucoma treatment options, fill out our contact us form and our team will get back to you.

What is trabeculectomy?

It is a filtration operation to create a new outflow channel for the aqueous fluid to drain out of the eye and ultimately reduce the eye pressure. The newly formed outflow channel can be seen in the upper part of the eye and is usually covered by the eyelid. It is known as the bleb. In most cases (95%), it achieves the target eye pressure without the use of topical medication.

What to expect before and during trabeculectomy

Before the surgery, your consultant may commence you on anti-inflammatory drops to “maximise” the surface of the eye and ultimately improve the success of the operation.

During the surgery, the eye will be anaesthetised with either a local anaesthetic injection or general anaesthetics. The surgery itself can take anything from 45minutes to 1 hour during which the outer covering of the eye (conjunctiva) is opened and a partial thickness flap door is created in the white part of the eye (sclera). A passageway is then formed between the anterior chamber and the newly formed drainage channel for the aqueous fluid to flow through. The flap is then secured with “releasable sutures” that can later be used to tweak the eye pressure, and the conjunctival opening is sutured.

At the end of the surgery, you will be given an antibiotic and anti-inflammatory injection to prevent any infection or scarring. The eye is then normally covered with a cotton pad and a protective shield.

What to expect after trabeculectomy

After the operation you will be asked to avoid any rubbing of the eye, any heavy lifting, strenuous exercise, bending down, getting water into the eye or straining in any form as this could cause the pressure in the eye to rise. You will be told to stop any previous glaucoma drops you were using and given intensive topical steroids (8 per day) and antibiotics (4 per day) to use for 4-6 weeks.

The vision is usually blurred for the first few days following the trabeculectomy operation but as long as it is not worsening, this is completely normal. The eye will feel uncomfortable due to the sutures but not painful and again this tends to subside in the first week. The eye will look red and there may be some mild watering or clear discharge in the first 1-2 weeks.  You will be having regular visits and an intensive post operative drop regime for the first 4 weeks. Once the initial period passes, the vision will return to the pre-operative level, the pressure will be within target and you will come off all topical medication in the operated eye.

You will need a review on day 1, week 1, week 2, week 3-4 and then, depending on how well the bleb is healing, week 6. At this point, the topical steroids drops will be tailored over the following 2-4 weeks and you will be seen once all drop courses have been completed.

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If you have any questions around glaucoma surgery or our service, please feel free to make an enquiry or call us on 0203 369 2020

How much does trabeculectomy cost?

Finance Options/Interest Free Credit

We offer 0% interest finance options making it easier to spread the cost of surgery over up to 24 months. A minimum 10% deposit is required and the balance is split over your chosen monthly period of either 6, 10, 12, 18 or 24 months at a rate of 0% APR. Get in touch to find out more about our flexible pricing options and how we can make it work for you.

Glaucoma Surgery

Glaucoma surgery prices range from £3000 – £4500 depending on the complexity of treatment

Possible complications of trabeculectomy

The success rate of trabeculectomy is 95%. It is a well established surgery and with the Moorfields safe surgery technique, it has been refined further and today is considered the gold standard filtration surgery in glaucoma nationwide. But, as with every operation, there is always a small risk of complications, most of which are mild and temporary. These include:

  • Infection (under 1%)
  • Uncontrolled Inflammation (under 1%)
  • Over drainage causing very low pressures (also known as hypotony) (5%)
  • Failure (5%)
  • Revision surgery (under 5%)
  • Lens opacity in phakic patients (50% in 2-4 years)
  • Permanent irreversible reduction of vision/loss of sight (<1%)

Trabeculectomy FAQs

Below you can find out the answers to some of the commonest questions our expert surgeon, Ms Sally Ameen is asked about trabeculectomy.

1
How long does trabeculectomy last?

The lifespan of a trabeculectomy operation is usually 15-20 years. This is depending on a number of factors: the age of the patient when the surgery is performed, the anti-scarring agent used during the surgery, the post op healing process and if the eye is subjected to any further surgeries.

2
Is a trabeculectomy painful?

The eye can feel uncomfortable for the first week after a trabeculectomy surgery. The discomfort is mild to moderate but does not cause severe pain. As the eye heals and recovers, the discomfort subsides.

3
Can I drive after a trabeculectomy?

Legally, this depends on the level of vision and visual field defect that you have affecting BOTH eyes (and not just the operated eye). If the unoperated eye has good vision and minimal visual field defect, then legally you are allowed to drive irrespective of the operated eye. You may want to refrain from driving for a few days after the surgery as the eyes would be adjusting to the change in the vision and you may not feel confident to drive until that settles.

4
How long does it take for a trabeculectomy to heal?

The operation usually settles within 3-4 weeks. Once healed, the eye pressure will remain stable without the need to use glaucoma drops and the disease is controlled and any further progression would be stopped.

What makes our glaucoma treatment unique?

1

Convenient consultation and treatment

Sally Ameen is part of OCL Vision, a group of elite eye surgeons offering consultation, treatment and surgery onsite in one place. Choose from our central London location (close to Harley Street), Chiswick or Harrow.

2

Yearly glaucoma care package

Our annual care package costs £950 and covers one year of unlimited glaucoma consultations and diagnostics required to monitor eye pressure.*

*Surgery and drops are not included in this price.

3

Up to date with the latest surgical & medical innovations

The most common surgery type performed by Sally Ameen is MIGS (minimally invasive glaucoma surgery). This group of operations has been pioneered to reduce the chance of complications following surgery, and is ever-evolving. available.

4

Personalised care for each patient

Sally Ameen recognises the importance of each patient’s individual journey, and the tailored care they require. She will always do everything in her power to save her patients’ sight, using her expert knowledge and surgical skills.

If you would like to learn more or discuss glaucoma treatment options, contact us on 0203 369 2020 or through our contact us form.