Glaucoma surgery vs. drops
Why Glaucoma Surgery Might Be a Better Option Than Using Eye Drops
Glaucoma, often referred to as the “silent thief of sight,” is a group of eye conditions that damage the optic nerve, essential for good vision. This damage is often caused by abnormally high pressure in the eye. Left untreated, glaucoma can lead to permanent blindness. Traditionally, the first line of treatment has been the use of medicated eye drops to lower intraocular pressure (IOP). However, advancements in medical science have made glaucoma surgery a viable and sometimes preferable option. Here are several reasons why glaucoma surgery might be better than using drops.
Long-term Effectiveness
Eye drops need to be used consistently and correctly to be effective. However, many patients struggle with adherence due to various factors such as forgetfulness, physical limitations, or side effects. Surgery, on the other hand, provides a more permanent solution. Procedures like trabeculectomy, laser trabeculoplasty, or minimally invasive glaucoma surgeries (MIGS) can significantly reduce IOP with lasting effects, potentially eliminating the need for daily medication.
Reduction in Side Effects
Eye drops can cause a range of side effects including redness, irritation, allergic reactions, and systemic effects such as fatigue, dizziness, or respiratory problems. These side effects can sometimes be severe enough to deter patients from continuing their medication regimen. Surgical options, while carrying their own risks, generally do not have these chronic side effects, making them a better choice for some patients.
Improved Quality of Life
Managing glaucoma with daily eye drops can be burdensome. The regimen often involves multiple doses throughout the day, which can be disruptive and challenging to maintain. Additionally, patients must frequently visit their ophthalmologist for check-ups to ensure the drops are working effectively. Surgery can reduce or eliminate the need for these drops, leading to fewer medical appointments and a more manageable daily routine, thus improving the overall quality of life.
Cost-Effectiveness
While the upfront cost of surgery may be higher than the cost of eye drops, the long-term expenses associated with ongoing medication, frequent doctor visits, and potential complications from inconsistent use of drops can add up. Over time, surgery might prove to be more cost-effective, especially considering the potential savings from reduced need for medications and medical appointments.
Better Control of Disease Progression
For some patients, eye drops may not be sufficient to control IOP and prevent the progression of glaucoma. Surgery can provide more consistent and effective pressure reduction, which is crucial for preventing further optic nerve damage and preserving vision. This is particularly important for patients with advanced glaucoma or those who do not respond well to medications.
Technological Advancements
Advances in surgical techniques and technology have made glaucoma surgeries like the ones used by Dr. Goldberg and the Goldberg Centre are safer and more effective. Minimally invasive glaucoma surgeries (MIGS), for example, offer a less invasive option with a quicker recovery time and fewer complications compared to traditional surgeries. These advancements have expanded the options available to patients and increased the success rates of surgical interventions.
While eye drops remain a viable and effective treatment for many individuals with glaucoma, surgery offers several compelling advantages. The long-term effectiveness, reduction in side effects, improved quality of life, cost-effectiveness, better disease control, and technological advancements make surgery a preferable option for many patients. As with any medical decision, it is essential to consult with an ophthalmologist to determine the best course of action based on individual circumstances and the severity of the condition.
By understanding the benefits and potential risks associated with both treatment options, patients can make informed decisions and take proactive steps towards preserving their vision and improving their quality of life.
Keep in mind that while Glaucoma surgery is covered by OHIP, there may be costs associated with post procedure care that are not covered by OHIP. Getting an office block fee to minimize those costs may be in the patients best interest.
Call us to book a Glaucoma assessment consultation 416-412-4441
