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Glaucoma surgery Paris
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Glaucoma surgery Paris

Glaucoma causes

Glaucoma is an increase in intraocular pressure, creating a gradual but irreversible reduction of the visual field and of the visual function due to a permanent damage to the optic nerve. A treatment, whichever it may be, can only stabilize the ocular lesions but under no circumstance can it allow the recovery of an impaired visual function. One should therefore not wait for a decrease in visual acuity to consult a specialist. The origin of glaucoma is usually unknown, but there is nevertheless a strong family heredity. Some local or general treatments, especially corticosteroid therapy, can promote or accelerate the onset of glaucoma in predisposed patients.

Glaucoma surgery Paris

Glaucoma causes

Glaucoma is an increase in intraocular pressure, creating a gradual but irreversible reduction of the visual field and of the visual function due to a permanent damage to the optic nerve. A treatment, whichever it may be, can only stabilize the ocular lesions but under no circumstance can it allow the recovery of an impaired visual function. One should therefore not wait for a decrease in visual acuity to consult a specialist. The origin of glaucoma is usually unknown, but there is nevertheless a strong family heredity. Some local or general treatments, especially corticosteroid therapy, can promote or accelerate the onset of glaucoma in predisposed patients.

Glaucoma treatment

A surgical intervention is needed when, despite medical treatment, the tension is too high and/ or the visual field is inevitably deteriorating. The current trend is not to delay the surgery too much, as it is all the more effective when the number of eye drops required to maintain intraocular pressure control is low. Using modern techniques of ocular microsurgery, the treatment you will receive consists in facilitating the evacuation of aqueous humor through the creation of an internal bypass beneath the conjunctiva, which often results in the appearance of an outgrowth called ‘bleb’ located below the eyelid.

 

The length of stay at the clinic will be approximately two hours. Patients should arrive about one hour prior to surgery, which will take place under local anesthesia. The average length of the procedure is around fifteen minutes, with a 30 to 40 minute preparation in the operating room. A snack is served after the intervention, immediately before departure. Depending on the type of local anesthesia performed, a protective shell can be placed on the operated eye until the day after the intervention. Otherwise, it will be replaced by a pair of glasses – no matter which type – whose role is to protect the eye from a possible shock. Local treatments last several weeks and consist in the instillation of eye drops, and sometimes in the application of ointments.

 

In a few particular cases, hospitalization may be useful or necessary. Its duration will be determined accurately in an "à la carte" fashion at the time of the preoperative office visit. The decision will take into account medical requirements (eg. anticoagulant treatments), personal preferences, the family environment, the place of housing, etc.

The procedure can in no way claim to improve vision, and can only stabilize the visual function in order to prevent further degradation. However, it has an excellent success rate.

Glaucoma treatment

A surgical intervention is needed when, despite medical treatment, the tension is too high and/ or the visual field is inevitably deteriorating. The current trend is not to delay the surgery too much, as it is all the more effective when the number of eye drops required to maintain intraocular pressure control is low. Using modern techniques of ocular microsurgery, the treatment you will receive consists in facilitating the evacuation of aqueous humor through the creation of an internal bypass beneath the conjunctiva, which often results in the appearance of an outgrowth called ‘bleb’ located below the eyelid.

 

The length of stay at the clinic will be approximately two hours. Patients should arrive about one hour prior to surgery, which will take place under local anesthesia. The average length of the procedure is around fifteen minutes, with a 30 to 40 minute preparation in the operating room. A snack is served after the intervention, immediately before departure. Depending on the type of local anesthesia performed, a protective shell can be placed on the operated eye until the day after the intervention. Otherwise, it will be replaced by a pair of glasses – no matter which type – whose role is to protect the eye from a possible shock. Local treatments last several weeks and consist in the instillation of eye drops, and sometimes in the application of ointments.

 

In a few particular cases, hospitalization may be useful or necessary. Its duration will be determined accurately in an "à la carte" fashion at the time of the preoperative office visit. The decision will take into account medical requirements (eg. anticoagulant treatments), personal preferences, the family environment, the place of housing, etc.

The procedure can in no way claim to improve vision, and can only stabilize the visual function in order to prevent further degradation. However, it has an excellent success rate.

Glaucoma complications

Zero risk surgery unfortunately does not exist, including glaucoma surgery. Exceptional and unforeseen issues can thus be observed at the time of surgery or during the postoperative period. In the short-term, vision can drop significantly during the first postoperative weeks due to intraocular bleeding or to a bypass running too well and excessively lowering the intraocular pressure. These two phenomena usually spontaneously subside and vision returns to its pre-surgery level. However, in some cases, the persistence of an abnormally low tension may necessitate a reoperation. Rare but serious, postoperative infections (1/1000) are characterized by a painful eye as well as abundant secretions. They require an urgent consultation and an aggressive treatment. An intraocular hemorrhage may sometimes be observed, associated with hypotonia, which may delay visual recovery. Nonetheless, it usually disappears on its own in the majority of cases. The perforation of the eyeball during local anesthesia as well as the intraoperative expulsive hemorrhage, which both lead to a permanent loss of vision, have thankfully become extremely rare complications.

 

Other complications are less severe. They can for instance be an insufficiently tight scar, a partial collapse of the upper eyelid, a hematoma in the white of the eye or eyelid, the perception of floaters, a transitory inflammation of the operated eye, or a certain degree of eye irritation caused by postoperative hypotonia and/ or sutures – which usually spontaneously reabsorb themselves in a fortnight.

Generally, anti-glaucomatous interventions promote the onset or worsening of secondary cataracts in the medium-term, which are the source of a potential decreased visual acuity. In that case, a cataract surgery will again restore the initial visual function.

 

In the long-term, filtration bubbles that emerged after surgery – which usually manifest themselves through the appearance of a lump under the eyelid – must be regularly inspected during consultations with your doctor in order to prevent any secondary infection linked to their deterioration.

In 70-80% of cases, anti-glaucomatous interventions enable patients to stop using any anti-glaucoma eye drops. More rarely, it will be necessary to undertake a maintenance treatment associated with the surgery, enabling both the completion of the balance of glaucoma and the preservation of the visual function in a long term period.

Glaucoma complications

Zero risk surgery unfortunately does not exist, including glaucoma surgery. Exceptional and unforeseen issues can thus be observed at the time of surgery or during the postoperative period. In the short-term, vision can drop significantly during the first postoperative weeks due to intraocular bleeding or to a bypass running too well and excessively lowering the intraocular pressure. These two phenomena usually spontaneously subside and vision returns to its pre-surgery level. However, in some cases, the persistence of an abnormally low tension may necessitate a reoperation. Rare but serious, postoperative infections (1/1000) are characterized by a painful eye as well as abundant secretions. They require an urgent consultation and an aggressive treatment. An intraocular hemorrhage may sometimes be observed, associated with hypotonia, which may delay visual recovery. Nonetheless, it usually disappears on its own in the majority of cases. The perforation of the eyeball during local anesthesia as well as the intraoperative expulsive hemorrhage, which both lead to a permanent loss of vision, have thankfully become extremely rare complications.

 

Other complications are less severe. They can for instance be an insufficiently tight scar, a partial collapse of the upper eyelid, a hematoma in the white of the eye or eyelid, the perception of floaters, a transitory inflammation of the operated eye, or a certain degree of eye irritation caused by postoperative hypotonia and/ or sutures – which usually spontaneously reabsorb themselves in a fortnight.

Generally, anti-glaucomatous interventions promote the onset or worsening of secondary cataracts in the medium-term, which are the source of a potential decreased visual acuity. In that case, a cataract surgery will again restore the initial visual function.

 

In the long-term, filtration bubbles that emerged after surgery – which usually manifest themselves through the appearance of a lump under the eyelid – must be regularly inspected during consultations with your doctor in order to prevent any secondary infection linked to their deterioration.

In 70-80% of cases, anti-glaucomatous interventions enable patients to stop using any anti-glaucoma eye drops. More rarely, it will be necessary to undertake a maintenance treatment associated with the surgery, enabling both the completion of the balance of glaucoma and the preservation of the visual function in a long term period.

Glaucoma conclusion

Glaucoma surgery has nowadays proven its maturity. Though it may, like any other surgical procedure, encounter problems – such as inadequate healing, risk of infection, or other unpredictable hazards including the need for a reoperation – it nonetheless generates overall a great satisfaction among surgical patients.

 

Glaucoma conclusion

Glaucoma surgery has nowadays proven its maturity. Though it may, like any other surgical procedure, encounter problems – such as inadequate healing, risk of infection, or other unpredictable hazards including the need for a reoperation – it nonetheless generates overall a great satisfaction among surgical patients.

 

WEARING GLASSES AND/OR CONTACT LENSES IS NOT ANYMORE A FATALITY


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YOU ARE SUFFERING
FROM MYOPIA

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YOU ARE SUFFERING
FROM HYPEROPIA

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YOU ARE SUFFERING
FROM PRESBYOPIA

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YOU ARE SUFFERING
FROM ASTIGMATISM

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PRACTICE

61 rue de Rennes
75006 Paris

Phone : +33 (0)1 45 48 31 13

Consultations and preoperative explorations.

CLINIQUE DE LA VISION

131 rue de l’Université
75007 PARIS

Phone : +33 (0)1 58 05 20 00

Refractive Surgery. Surgery on Thursdays

CLINIQUE JOUVENET

18 rue Jouvenet
75016 PARIS

Phone : +33 (0)1 42 15 41 19

Cataract, glaucoma, cornea...
Surgery on Monday afternoons, Tuesday afternoons and Wednesday mornings.

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WARNING

This site only presents information on anterior segment surgeries, such as refractive, cataract, and glaucoma surgery. It does not include advertising. It refers only to recognized methods, proven by a vast majority of specialists. Its contents may not be exhaustive as recommended by the French administration. The responsibility of the website solely belongs to his author, Marc Weiser, M.D. Our privacy policy.

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