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
"I have been going to Koch Eye for years. The girls at the front desk are always nice and knowledgeable. I had a new doctor that I haven’t had in past appointments Dr. Vania Bea. From the time she walked in the room she completely put me at easeShe listened to my concerns and i felt confident in her answers. Everyone at Koch in Johnston are great."- M.J. / Google / Feb 10, 2020
"I dont hand out 5 stars all to often, but koch earn it, from the moment you call them you know your dealing with a professional outfit. Your eye sight is very important, and as far as I can see, Koch is top knotch."- C.T. / Google / Feb 10, 2020
"The staff was great good exam. They took the time to explain what and why the we’re doing"- A.R. / Facebook / Jan 30, 2020
"I was pleasantly surprised. Everyone there from the receptionists to the nurses and doctors went above and beyond. I was extremely nervous and everyone went out of their way to make me feel relaxed. Surgery was a success, back in a week for my second eye."- C.B. / Google / Dec 31, 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.