Our Summary

This research paper discusses new devices and methods that have been recently developed to treat glaucoma, an eye condition that can cause vision loss. These new techniques are less invasive and are believed to be safer than traditional glaucoma surgery. They could potentially encourage patients to opt for surgery earlier and reduce the long-term use of eye drops for glaucoma, which can have issues with patient adherence and side effects.

Although these new methods are often used alongside cataract surgery, there is increasing evidence to suggest they could be used as a first-line treatment for glaucoma. Studies have shown that several new techniques, including different types of stents and implants, can effectively reduce eye pressure (a key factor in glaucoma) and/or the need for eye drops in patients with glaucoma. These effects appear to last for at least a year.

However, there is not yet enough data from large, long-term clinical trials to determine how cost-effective these new treatments are, or how much they improve patients’ quality of life.

FAQs

  1. What are some of the new methods and devices being used to treat glaucoma?
  2. Can these new glaucoma treatments be used as a first-line treatment?
  3. Do we have enough data to understand the long-term effects and cost-effectiveness of these new glaucoma treatments?

Doctor’s Tip

One helpful tip a doctor might tell a patient about glaucoma surgery is to follow all pre-operative and post-operative instructions provided by the surgeon. This may include using eye drops as prescribed, avoiding strenuous activities, and attending follow-up appointments to monitor the success of the surgery and ensure proper healing. It is important to communicate any concerns or changes in vision to the doctor promptly.

Suitable For

Patients who may be recommended for glaucoma surgery include those who have not had success with other treatments such as eye drops, laser therapy, or medication. Additionally, patients with advanced glaucoma, high eye pressure that is difficult to control, or those who are experiencing significant vision loss may also be good candidates for surgery. It is important for patients to discuss their individual situation with their ophthalmologist to determine the best course of treatment for their specific needs.

Timeline

Before glaucoma surgery:

  1. Patients may experience symptoms of glaucoma such as increased eye pressure, blurry vision, and peripheral vision loss.
  2. Patients will undergo a comprehensive eye exam to diagnose and assess the severity of their glaucoma.
  3. Patients will typically be prescribed eye drops to help lower their eye pressure and manage their condition.
  4. If eye drops are not effective in controlling the glaucoma, the patient’s ophthalmologist may recommend surgery.

After glaucoma surgery:

  1. The patient will undergo the surgical procedure, which can vary depending on the type of surgery chosen.
  2. After surgery, patients may experience temporary discomfort, redness, and blurred vision.
  3. Patients will need to attend follow-up appointments to monitor their eye pressure and overall eye health.
  4. In the weeks and months following surgery, patients may gradually see improvements in their vision and a reduction in their need for eye drops.
  5. Patients will continue to be monitored regularly by their ophthalmologist to ensure the long-term success of the surgery and to address any potential complications.

What to Ask Your Doctor

Some questions a patient should ask their doctor about glaucoma surgery include:

  1. What type of glaucoma surgery do you recommend for my specific condition?
  2. What are the potential risks and complications associated with this surgery?
  3. How long is the recovery period after glaucoma surgery, and what can I expect during this time?
  4. Will I still need to use eye drops after the surgery, or will the surgery eliminate the need for them?
  5. What is the success rate of this particular surgery in terms of lowering eye pressure and preserving vision?
  6. How often will I need follow-up appointments after the surgery, and what will these appointments entail?
  7. Are there any alternative treatments or procedures available for my glaucoma?
  8. How much experience do you have performing this type of glaucoma surgery?
  9. What are the potential costs associated with the surgery, including any out-of-pocket expenses or insurance coverage?
  10. Are there any lifestyle changes or precautions I should take before or after the surgery to optimize the results?

It is important for patients to have open and honest discussions with their doctor about their options for glaucoma surgery, including any new techniques or devices that may be available. Patients should feel comfortable asking questions and seeking clarification to ensure they are fully informed about their treatment choices.

Reference

Authors: Kerr NM, Wang J, Barton K. Journal: Clin Exp Ophthalmol. 2017 May;45(4):393-400. doi: 10.1111/ceo.12888. Epub 2017 Jan 29. PMID: 27928879