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Best Trabeculectomy Specialist In Thane

An operation called a Trabeculectomy helps that is used to treat the condition of glaucoma. Glaucoma is when the fluid that your eye produces, referred to as Aqueous Humor, is not able to drain as it should. The eye’s intraocular pressure (IOP) to rise in time, which could result in blindness or loss of vision in the event of untreated.
Trabeculectomy decreases the intraocular Pressure (IOP) within the eye. It can reduce or even stop the loss of vision due to the glaucoma. The doctor might recommend an ophthalmectomy if your IOP isn’t responding to conventional treatments for glaucoma such as the prescription drops for eye or other medications.
Trabeculectomy can be used to create the new channel, also known as a “bleb,” through which fluid drains out of the eye. Restoring the eye’s capacity to remove fluids will result in lower IOP.

How does Trabeculectomy work?

The pressure inside the eye can be reduced by allowing the drainage of aqueous fluid from inside the eye via one of the following routes:
(1) Filtration through the sclerostomy along the edges of the flap, into the filtering bleb which develops beneath the conjunctiva
(2) the filtration of outlets within the scleral flap, and finally to beneath the conjunctiva
(3) Filtration of connective tissue from the scleral flap, to below the conjunctiva and then into the Schlemm’s canals that have been cut,
(4) the flow of aqueous fluid into the cut ends of Schlemm’s Canal into episcleral veins and collector channels and
(5) to form an oblique cyclodialysis cleft that is formed that is formed between the body of the ciliary as well as the sclera , if the tissue is cut in the direction of the spur of scleral.

How is a trabeculectomy performed?

Your procedure will be completed in the operating room, and it can be done under either local or general anesthesia. If you receive local anesthesia, your eye will be numbed. If given general anesthesia, you’ll be given an IV for sedation. If you’re getting local anesthesia, your doctor may have given you a sedative to take ahead of time to make it easier to relax.
Your eye will be numbed, cleaned, and fitted with a lid speculum to hold it open. Then, you’ll be covered in a drape that exposes nothing but your eye. During the procedure, you’ll know the surgeon is operating, but you shouldn’t be able to feel anything.

Your surgeon will open a bleb in the top of your eye. This will be done beneath your eyelid, so it won’t be visible after the procedure. Once the new drainage site has been created, your surgeon will place sutures near the site that are meant to hold the “flap” over the bleb open, as the site must not reseal during the healing process. Your stitches will not dissolve and will need to be removed by your doctor within about two weeks.

Surgery should last between 45 and 60 minutes. After the procedure, your eye will be patched and shielded until your follow-up appointment with your surgeon the next day.

What’s the success rate of a trabeculectomy?

Long-term, trabeculectomy has been proven to have a high success rate. It’s estimated that 90 percent were successful, with two-thirds of individuals no longer needing medication to control the condition afterward.

Approximately 10–12 percent of people who receive a trabeculectomy will require a repeat procedure. Research indicates that about 20 percent of trabeculectomy procedures don’t control IOP longer than 12 months, and 2 percent of procedures fail every year after that time frame. People who have the highest risk for this include those who have artificial lenses and those whose blebs become encapsulated.