Understanding Glaucoma Surgery for Aging Eyes
Advanced surgical solutions for preserving vision in seniors
Glaucoma is a common eye condition among older adults that can gradually damage the optic nerve and lead to vision loss. Often called the "silent thief of sight," glaucoma may progress without noticeable symptoms until significant vision is lost. For seniors, early detection and timely surgical intervention are critical.
What Is Glaucoma?
Definition
Glaucoma is a group of eye conditions that damage the optic nerve, often due to increased intraocular pressure (IOP).
Symptoms in Seniors
Early glaucoma usually has no symptoms. Advanced stages may cause:
- Loss of peripheral vision
- Tunnel vision
- Blurred vision
- Difficulty seeing at night
Risk Factors
- Age over 60
- Family history
- Diabetes
- High blood pressure
- Prolonged steroid use
When Is Surgery Needed?
- When medication or eye drops are insufficient to control eye pressure
- If glaucoma is progressing rapidly
- If the patient cannot tolerate medications
Types of Glaucoma Surgery
Minimally Invasive Glaucoma Surgery (MIGS)
- Uses tiny incisions and specialized devices to improve fluid drainage
- Faster recovery and lower risk of complications compared to traditional surgery
- Ideal for seniors with mild to moderate glaucoma who need safer, less invasive options
Trabeculectomy
- Creates a small drainage flap to allow fluid to leave the eye, reducing eye pressure
- Typically used for advanced glaucoma when other treatments are not enough
Tube Shunt Surgery
- A small tube helps drain fluid from the eye to lower pressure
- Often recommended for patients with complex or refractory glaucoma
Benefits of Glaucoma Surgery for Seniors
- Reduces the risk of further vision loss
- Helps maintain independence and daily functioning
- Can reduce dependence on eye drops or other medications
- Safer, modern surgical options offer faster recovery and fewer complications
Recovery After Glaucoma Surgery
Initial Recovery
Vision may be blurry for a few days after surgery. This is completely normal and will improve.
What Our Patients Say
"Dr. Khanna is an absolute expert. I chose to have PIE surgery and cataract surgery with Dr. Khanna. I only trust him! With PIE surgery I no longer need distance or reading glasses. I have never seen better in MY LIFE!"
"The procedure is very fast and painless. Dr. Khanna and his team were amazing. They worked with my budget and were great at explaining the surgery/prescriptions and recovery time."
Medication
Eye drops are usually prescribed to prevent infection and control inflammation.
Activity Restrictions
Avoid heavy lifting, bending, or strenuous activity for several weeks.
Follow-up Care
Regular follow-up visits are essential to monitor eye pressure and healing.
Risks and Considerations
Common during recovery: Mild discomfort, redness, or swelling
Rare complications: Infection, bleeding, or very high or low eye pressure
Special considerations: Pre-existing conditions like diabetes or cataracts may affect recovery
Expert care: Experienced surgeons carefully evaluate each senior to minimize risks and choose the most suitable procedure
