Glaucoma Surgery IN INDIA

Glaucoma is a group of eye diseases that cause damage to the optic nerve, often due to increased intraocular pressure (IOP). If left untreated, glaucoma can lead to irreversible vision loss. While medication can control the condition in its early stages, surgery becomes necessary when the disease advances or when medications fail to lower IOP effectively.

India has emerged as a popular destination for glaucoma surgery due to the availability of advanced medical technologies, skilled surgeons, and affordable treatment options. This article explores everything you need to know about glaucoma surgery in India, including pre and post-operative procedures, cost factors, and why Al Afiya is a trusted choice for international patients.

 What is Glaucoma?

Glaucoma is a group of eye diseases that damage the optic nerve, which is essential for vision. It is often associated with increased pressure in the eye, known as intraocular pressure (IOP). If left untreated, glaucoma can lead to permanent vision loss and even blindness.

The damage caused by glaucoma typically starts with peripheral (side) vision loss, and as the disease progresses, it may affect central vision as well. However, this process is often slow and painless, which is why glaucoma is frequently referred to as the “silent thief of sight.”

There are several types of glaucoma, including:

• Primary Open-Angle Glaucoma (POAG): The most common type, where the eye’s drainage canals gradually become blocked, leading to increased pressure inside the eye.

• Angle-Closure Glaucoma: Occurs when the iris is too close to the drainage angle of the eye, leading to a sudden rise in eye pressure.

• Normal-Tension Glaucoma: A type where optic nerve damage occurs despite normal intraocular pressure.

• Congenital Glaucoma: A rare form found in infants or young children.

Statistics on Glaucoma

• Prevalence: Glaucoma is the second leading cause of blindness globally, after cataracts. According to the World Health Organization (WHO), approximately 3 million people in the United States are affected by glaucoma, and the number is expected to increase as the population ages.

• Global Impact: An estimated 64 million people worldwide suffer from glaucoma, and this number is projected to rise to 76 million by 2020 and 112 million by 2040 due to the aging population.

• Age Factor: Glaucoma is more common in people over the age of 60, and the risk increases with age. However, certain types, like congenital glaucoma, can affect younger individuals.

• In India: Around 12 million people in India are affected by glaucoma, but due to the asymptomatic nature of the disease, only a small percentage of these cases are diagnosed early.
• Risk Factors: Family history, age, ethnicity (glaucoma is more common in African Americans and people of Asian descent), and medical conditions like diabetes or high blood pressure increase the risk of developing glaucoma.

Understanding Glaucoma Surgery

Glaucoma surgery aims to reduce intraocular pressure and prevent further damage to the optic nerve. Depending on the type and severity of glaucoma, various surgical methods are available, including:

• Trabeculectomy: A traditional and common procedure where a small drainage hole is created in the eye to improve fluid drainage and reduce pressure.

• Tube Shunt Surgery: A small tube is implanted in the eye to help drain excess fluid.

• Laser Surgery: Procedures such as laser trabeculoplasty or laser iridotomy are less invasive alternatives used to treat specific types of glaucoma.

• Minimally Invasive Glaucoma Surgery (MIGS): Newer techniques that combine safety with effectiveness, using tiny devices to lower eye pressure.

Each procedure is tailored to the individual based on the type of glaucoma and the overall condition of the eye.

Cost of Glaucoma Surgery in India

One of the primary reasons people seek treatment in India is the affordability of medical care. The cost of glaucoma surgery in India can vary depending on various factors.

Here’s a breakdown of the estimated cost of glaucoma surgery in different metro cities in India, presented in INR and USD: 

Factors Affecting the Cost of Glaucoma Surgery in India

Several factors can influence the overall cost of glaucoma surgery in India:

• Type of Surgery:

1. 1. • Traditional surgeries like trabeculectomy tend to cost less than advanced methods like MIGS or tube shunt surgery.
      • Laser surgeries are typically more affordable than invasive surgeries.

• Hospital and Location:

1. 1. • The reputation and location of the hospital can significantly affect the cost. Premium hospitals in metropolitan areas may have higher fees compared to smaller facilities in regional cities.
      • Hospitals with international accreditations (like NABH, JCI) may charge higher fees but provide superior care and facilities.

• Surgeon’s Expertise:
  Experienced surgeons with specialized training in glaucoma surgery may charge more for their services. However, their expertise often leads to better surgical outcomes.

• Pre and Post-Surgical Care:
  The cost of pre-operative tests, medications, follow-up visits, and post-operative care may be included in the total cost.
• Technology Used:
  Cutting-edge technology, such as laser equipment, advanced imaging systems, and minimally invasive devices, may raise the overall cost of surgery.

Why Choose Al Afiya for Glaucoma Surgery in India?

When choosing Al Afiya for your glaucoma surgery, you benefit from a seamless healthcare experience that prioritizes quality, affordability, and patient satisfaction. Here’s why Al Afiya stands out:

• Trusted Network of Hospitals
  Al Afiya partners with leading hospitals in India, equipped with the latest technology and international accreditations, ensuring you receive the best care possible.

• Skilled Surgeons
  You will be connected with some of the best ophthalmologists and glaucoma surgeons in India, many of whom are internationally trained and specialize in advanced glaucoma surgeries.

• Affordable Treatment Packages
  Al Afiya offers cost-effective treatment packages that cover all aspects of the surgery, including hospitalization, medication, and follow-up care, without hidden charges.

• Comprehensive Medical Support
  Al Afiya provides end-to-end assistance, from the initial consultation and surgery scheduling to post-surgical care and rehabilitation.

• Medical Tourism Expertise
  Al Afiya takes care of all your logistical needs, such as visa arrangements, airport transfers, accommodation, and language support, making your medical journey as smooth as possible.

• Patient-Centric Approach
  With a focus on patient comfort and communication, Al Afiya ensures you are well-informed and supported throughout your treatment process.

24/7 Assistance
The Al Afiya team is available round-the-clock to assist with any queries or emergencies, ensuring you have peace of mind throughout your recovery.

Pre-Operative Procedure for Glaucoma Surgery

Before undergoing glaucoma surgery, a thorough assessment and preparation are necessary. Here is what you can expect during the pre-operative phase:

• Comprehensive Eye Exam:
  The first step is to assess the severity of glaucoma through various tests such as:

• • • Tonometry (measuring intraocular pressure)
    • Ophthalmoscopy (examining the optic nerve)
    • Visual field tests (to check for vision loss)
    • Pachymetry (to measure corneal thickness)

• Medical History Review:
  The doctor will inquire about your general health, existing medical conditions, medications, and allergies. This helps in planning anesthesia and identifying any potential risks.

• Pre-Surgical Instructions:
  You will be given instructions on fasting (if required) and stopping certain medications, especially blood thinners, which can interfere with the surgery.

• Eye Drops and Medications:
  Eye drops to lower intraocular pressure may be prescribed before the surgery. In some cases, oral medications are also recommended.

Anesthesia Consultation:
Depending on the procedure, either local anesthesia (numbing the eye area) or general anesthesia may be used. The anesthesia team will evaluate your health and explain the procedure.

Post-Operative Procedure for Glaucoma Surgery

After undergoing glaucoma surgery, recovery is closely monitored, and appropriate care is essential to achieve the best outcome. Here’s what you can expect post-surgery:

• Immediate Aftercare:

1. 1. • You will be monitored in the hospital for a few hours following surgery.
      • The eye may be covered with a bandage to protect it, and the surgeon may administer medications to reduce pain and inflammation.

• Medications and Eye Drops:

1. 1. • You will be prescribed antibiotics and anti-inflammatory eye drops to prevent infection and control inflammation.
      • Medications to control intraocular pressure will also be continued post-surgery.

• Follow-Up Visits:
  Regular follow-up visits are crucial to check the healing process, ensure proper drainage, and measure intraocular pressure. These visits typically happen within the first week and then monthly.

• Limitations and Activity Restrictions:

1. 1. • Avoid strenuous activities, bending over, or heavy lifting for a few weeks.
      • It is essential to avoid rubbing the eyes and to rest frequently to prevent strain on the healing eye.

• Vision Recovery:
  Some patients may notice improved vision shortly after surgery, while for others, it may take several weeks for the full benefits to be evident.

Warning Signs:
If you experience severe pain, vision loss, or signs of infection (e.g., redness, discharge), seek immediate medical attention.

More Info About Glaucoma Surgery