A trabeculectomy is a glaucoma treatment in which a tiny hole is created in the eye wall for the drainage of excess fluid. The drainage hole is covered and protected by a thin, carefully created flap, or “trap door,” that the fluid can easily move past and into a small reservoir under the surface of the eye. As with most glaucoma surgeries, this promotion of drainage lowers the internal eye pressure, alleviating symptoms of glaucoma. The trabeculectomy has traditionally been considered one of the best and most effective treatments for the disease. At Koch Eye Associates, our experienced ophthalmologists have been performing successful glaucoma surgeries, including trabeculectomies, for many years, helping hundreds of Rhode Island patients.
If you think you or someone you know might be a candidate for a trabeculectomy, schedule a comprehensive glaucoma evaluation at one of our convenient locations in Johnston, North Kingstown, Providence, Wakefield, Warwick, or Woonsocket, RI.
"I first went to Koch Eye many years ago after being referred there for a follow up appointment after being treated at the emergency room for an eye injury, That was the only time I actually saw Dr. Koch himself (who was very nice by the way) It is only in the last few years (since my old lady eyes have begun to need reading glasses) that I have come in regularly for my eye exam and glasses prescription. I never have any problem with wait time because there are several optometrists. Really the only thing I am not crazy about is their hours. I wish it was possible to get an evening appointment or that there was an occasional Saturday. The office staff is pleasant and courteous"- I.C. / Yelp / May 09, 2019
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"I had been going to Vision World/ Works for the last 20 years for eye exams, glasses, contacts. When I was last seen a few years ago I was told my eyes had weakened and I needed -6.0 in my left eye and -5.0 in my right, a substantial increase from -4.75 left and -3.75 right two years before. Needless to say I experienced hyperopia and needed readers for the first time. I wasn't able to read labels, see my phone, or use a laptop without readers of at least +2.5. I was recentl...y seen by Dr Besen at Koch Eye who prescribed contacts of -5.25 left and -4.25 right. I'm absolutely certain that Vision World had me in lenses that were too strong because now I can see my laptop without readers, and I can see my phone if I hold it at arms length. Not only can I see better (for distance as well as close up), but the entire experience of walking into Koch, being greeted by reception, having a preliminary exam by the optician assistants, receiving a full eye exam by the optometrist, being properly fitted for glasses by the optician, and checking out with reception, is exponentially superior with Koch. Clearly the entire staff enjoy their careers, and are friendly, professional, and completely competent. Thank you, Koch Eye Associates! I will recommend you to everyone I know. Sincerely, Kate Carroll"- K.C. / Facebook / Nov 13, 2019
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"Koch Eye Associates saved my vacation. I was here from out of town and ripped my last contact lens. I was lucky I had my prescription with me and they had my lens in stock. In less than 20 minutes, I had a brand new lens and was on my way! Thank you Koch Associates for saving me from a very long ride home with only1 contact lens in my eyes. Very courteous friendly staff who were willing to listen and help and save my day!"- L.M. / Google / Aug 16, 2019
A trabeculectomy is usually only recommended for glaucoma patients who have already unsuccessfully tried eye drops and laser surgeries. However, the procedure is often considered the best option for patients with open-angle and closed-angle glaucoma. To determine whether you are a good candidate for a trabeculectomy, you will need to be evaluated by an experienced ophthalmologist with Koch Eye Associates. The evaluation will include discussing any treatments you have already tried, the type and stage of your glaucoma, your overall health, and your everyday lifestyle.
What to Expect
Your trabeculectomy with Koch Eye Associates will be performed at the St. James Surgery Center in Warwick, RI. Trabeculectomies can be performed under local anesthesia or when necessary, general anesthesia. When performed with a local anesthetic only, the surgery is typically an outpatient procedure, meaning you can return home the same day. Once you are as comfortable as possible from the anesthetic, the surgeon will place a device over your eye that will keep it still and keep you from blinking. Then a tiny opening, or hole, is created by removing tissue, and this hole is then covered with a thin flap of eye tissue for protection. The excess fluid inside your eye can then drain easily through the hole and past the flap. At the end of your procedure, the surgeon will administer antibiotic eye drops or injections and then tape the eye shut. You will also receive an eye patch to wear to ensure the eye is fully protected.
Most of our trabeculectomy patients are asked to return to Koch Eye Associates the day after their surgery for their first follow-up appointment. You will need to wear the tape and bandage for the first 24 hours after surgery, until your next-day follow-up. It is a good idea to wear your eye patch as much as possible, but you will be required to wear it at least to bed for about a month. You will probably be given a prescription for corticosteroid eye drops to use for around two months to control inflammation, and it is important that you avoid any strenuous activity, including exercising, bending, and lifting. These activities can increase pressure and strain on your eyes.
A Clear Solution
If you have glaucoma but have had unsuccessful results from medications or laser treatments, you may be a candidate for a trabeculectomy. Trabeculectomies have been considered the gold-standard treatment for glaucoma for many years, and Koch Eye Associates has the equipment and the experts to perform them with great success. Schedule your consultation at one of our Rhode Island facilities today so we can protect your vision and control the progression of your glaucoma.