Explore the various types of Glaucoma Surgery available at Liv Hospital. From laser treatments to microscopic implants, learn how we protect your vision.
Send us all your questions or requests, and our expert team will assist you.
Treatment and Procedures
What types of glaucoma surgery are there ? This is a common question for patients who are moving beyond eye drop therapy. The selection of a procedure depends on the specific type of glaucoma, the target pressure required, and the patient’s overall health history. At Liv Hospital, we offer a full spectrum of interventions, ranging from office based laser treatments to complex operating room surgeries. Each procedure is designed to create a reliable and sustainable way for fluid to exit the eye, thereby protecting the optic nerve from further pressure damage.
Glaucoma laser surgery is often the first surgical step considered when medications are insufficient. It is a minimally invasive procedure usually performed in the clinic setting.
These procedures are quick, typically taking less than 15 minutes, and involve minimal discomfort with a very fast return to daily activities.
Trabeculectomy is a traditional filtration surgery that remains a gold standard for achieving very low eye pressure in advanced cases.
During this procedure, the surgeon creates a small, guarded “door” or flap in the white part of the eye (sclera). This allows fluid to bypass the clogged natural drain and flow into a small reservoir, called a bleb, tucked under the upper eyelid.
From the bleb, the fluid is naturally absorbed back into the body’s circulation. This surgery is highly effective for patients who need a significant, permanent reduction in their intraocular pressure to save their remaining vision.
Drainage implant surgery involves the placement of a small silicone tube into the front chamber of the eye. This tube is attached to a small, thin plate that is tucked safely under the surface tissues of the eye.
Implants are often the preferred choice for patients with secondary glaucoma or those who have had extensive trauma to the eye.
Minimally Invasive Glaucoma Surgery (MIGS) is a newer category of procedures that utilize microscopic equipment and tiny incisions. These procedures have become very popular because they offer a high level of safety and a faster recovery compared to traditional surgeries.
MIGS procedures are often performed at the same time as cataract surgery, allowing us to treat both conditions simultaneously.
Cyclophotocoagulation (CPC) is a procedure that targets the ciliary body, which is the part of the eye responsible for producing aqueous humor. Instead of focusing on improving drainage, this surgery focuses on reducing the “inflow” of fluid.
By lowering the production of fluid at the source, we can achieve effective pressure control in eyes that are not suitable for traditional drainage surgeries.
The surgical procedure itself is a highly coordinated effort. Most patients are given a mild sedative to help them relax, and the eye is thoroughly numbed using local anesthesia or specialized drops. You will be awake but comfortable and will not feel any sharp pain. The surgeon uses microscopic instruments and a high definition surgical microscope to perform the delicate work within the eye. Throughout the process, the surgical team monitors your comfort and the stability of the eye to ensure an efficient and safe experience.
Success in these procedures is measured by the stability of the eye pressure and the lack of progression in the visual field. While no surgery can restore vision, the advanced techniques at Liv Hospital result in very high success rates for stabilizing the disease.
Our specialists work closely with you to define target goals and ensure the surgery meets your specific needs.
Glaucoma surgery requires a high level of specialized training and microscopic precision. It is important to choose a fellowship trained glaucoma specialist who understands the nuances of the eye’s drainage system. A specialist is prepared to handle the unique healing responses of different patients and can adjust the treatment plan as the eye heals. At Liv Hospital, our surgical team is dedicated exclusively to the management of complex pressure disorders, providing a level of expertise that ensures the best possible care for your eyes.
The decision to proceed with surgery is a collaborative one made between you and your doctor. We take the time to explain the pros and cons of each option, the potential risks, and the expected recovery timeline.
Our goal is to ensure you feel confident and fully informed as you take this vital step toward protecting your sight.
Send us all your questions or requests, and our expert team will assist you.
Most glaucoma surgeries are outpatient, meaning you will go home about an hour or two after the procedure is finished.
The eye’s natural healing process can sometimes try to close the new drain, but this can often be managed with medications or minor office adjustments.
Usually, we wait at least a few days to a few weeks between eyes to ensure the first one is healing properly and safely.
For most procedures, there is no visible difference. In filtration surgery, there might be a small, hidden bump under the upper eyelid.
Some laser treatments, like SLT, can be repeated if the effect wears off after a few years, while others are more permanent.
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