for glaucoma treatment…

As the second most common cause of blindness world wide (depending on the race), glaucoma comprises a very severe disease. The retinal neuroepithelium, that is the tissue which receives and transports all the visual stimuli to the brain, is progressively destroyed, without being perceived from the patient even in the advanced stages.
The most common form of glaucoma, in the Caucasians of Europe, is Chronic Open Angle Glaucoma.

Nowadays, the advances in pharmaceutical technology has led to the establishment of the medical treatment of glaucoma in the form of eye drops, with very simple dosage schemes. In some cases, the patient undergoes additional therapies, with special Laser or/and implantation of drainage valves which drain the aqueous humor from the anterior chamber.

In the resistant forms of the disease as well as in some special cases of other forms of glaucoma, the patients undergo several forms of surgical therapies, commonly, trabeculectomy.

  • Anaesthesia is performed with instillation of local eye drops. Rarely, it is performed with peribulbar injections

  • The conjunctiva is prepared, close to the limbus and over the region of the filtering bleb

  • A flap of specific dimensions and thickness is made in the ocular sclera

  • The ocular tissue through which the aqueous humor is being filtered, known as the trabeculum, is trepannized under the flap. In this way, a large flow communication is created between the anterior chamber and the adjacent subconjunctival area, leading to the formation of a filtering bleb

  • The flap is sutured with a specific technique

  • The surgery is completed with the waterproofing of the newly-formed bleb, as well as the specific suturing of the conjunctiva

  • After the end of the surgery, the doctor instills eye drops and the patient leaves the clinic with instructions and medication, including eye drops, for the next 20-30 days

  • The first post-operative examination takes place in the doctor’s practice the day following surgery