Glaucoma | Troshev eye clinic

Glaucoma is an eye disease that gradually steals your vision. Often, glaucoma has no symptoms and can suddenly result in vision loss. Without proper treatment, glaucoma can lead to blindness. The good news is that with regular eye exams, early detection, and treatment, you can preserve your sight.

Modern medicine offers a number of very good drugs for the treatment of glaucoma. There are many types of lasers by which we can achieve control of intraocular pressure. In practice, over 95% of patients are treated successfully only with drops. However when this does not help a surgery treatment is needed.

When there is Glaucoma the most frequently performed surgical procedure is trabeculectomy.

What is trabeculectomy?

An additional drainage is made with or without impant where fluid can flow forming a slight bubble or elevation underneath the upper eyelid, known as a bleb. After the fluid flows into the bleb, the fluid is re-absorbed by vessels, which allow the body to carry the fluid away. The aim of this routine procedure assures lower intraoculer pressure.

The surgeon cuts and folds back the conjunctiva, makes an apron-shaped flap half-way down within the sclera, folds the flap back and removes tissue enough to make a hole into the front chamber of the eye. Then, the conjunctiva is sewn back in place to cover the area and to begin sopping up the fluid coming out, like a sponge.

There are various types of implants that can be inserted in order to regulate the flow from the eye and the delay of adhesions. The most commonly used are EX-PRESS™ Glaucoma Filtration Device and Ahmed valve.

Diseases and treatment

Eye surgery

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Dr. Stanimir Troshev

Dr Denislav Trohsev

Dr. Milena Bozova

Dr. Milen Enev

Dr. Darina Anosova

Dr. Galina Atanasova

Dr Polina Shtereva