About Glaucoma Surgery
At our West Hills and Encino locations, our ophthalmologists have years of experience managing and treating glaucoma with surgical procedures. Traditional incisional surgical treatment for glaucoma is recommended after attempts with medications or lasers have proven unsuccessful. There are several different types of surgeries for glaucoma. Each one of them is performed with the primary goal of lowering the intraocular pressure to slow the progression of the disease.
Performed in an ambulatory surgery center, glaucoma surgery utilizes fine, microsurgical instruments to create a new drainage channel for the outflow of aqueous fluid. Though serious complications of modern glaucoma surgery are uncommon, they can occur. Before considering surgery, it is important for you to visit a qualified surgeon who can educate you about all of your surgical options. The surgeons at the Ophthalmology Associates of the Valley specialize in advanced glaucoma treatments and can help you choose the best treatment option for your vision and for your lifestyle.
Glaucoma Surgery Reviews
"Dr. Kramer is a Sight Saver! We have a Joke that I I'm going to live to 100 Years Old. I can only see in One Eye! I was Very Nervous about the Glaucoma Surgery! It went Amazingly Well. Pressure of only 10 for the last 6 Months! Highly Recommended."- B.W. / Yelp / Jan 10, 2020
"Dr. Kramer is a Sight Saver! We have a Joke that I I’m going to live to 100 Years Old. I can only see in One Eye! I was Very Nervous about the Glaucoma Surgery! It went Amazingly Well. Pressure of only 10 for the last 6 Months! Highly Recommended."- B.W. / Yelp / Jan 10, 2020
Generally, we suggest incisional surgeries for patients who have tried more conservative methods but have not experienced improvement. If you have tried prescribed medications, laser treatments or have failed previous procedures (including minimally invasive glaucoma surgeries), you may be a candidate.
What to Expect
As a way to reduce pressure in the eye, a new outflow pathway oftentimes is needed to alter the flow of intraocular fluid, which in turn lowers the overall ocular pressure. This can be performed either by creating a new filter via a trabeculectomy or by placing a glaucoma drainage implant.
Trabeculectomy – Considered the gold standard of glaucoma surgery, a trabeculectomy is a surgical procedure often performed after medication and laser treatments have failed. During the procedure, a new channel is created to drain fluid from the eye. An incision is made within the sclera, the white part of the eye, which then creates a collection pouch between the sclera and the conjunctiva referred to as a "bleb".
Ahmed Glaucoma Implant - A small, valved device that is placed on top of the sclera of the eye and secured in place to help drain fluid and lower eye pressure. The Ahmed valve is most often placed in patients with difficult cases of glaucoma in which other treatments possess a risk of severe damage to the optic nerve.
Immediately after the surgery, intraocular pressure may not be lower. Depending on how the surgery is performed, glaucoma medications may be continued during this period. For several weeks following the surgery, your ophthalmologist will observe your eye closely and examine you frequently.
Treat Your Glaucoma Today
If you experience symptoms caused by glaucoma and other more conservative treatments have not offered relief, such as MIGS or eye drops, please contact Ophthalmology Associates of the Valley in San Fernando Valley of Los Angeles, CA. At our state-of-the-art facilities in Encino and West Hills, our expert ophthalmologists provide a variety of advanced procedures to help improve your eyesight and restore your eye health by decreasing the pressure. Please give us a call to schedule an appointment and learn more about how our procedures can help you manage your glaucoma.