Deep sclerectomy

Deep sclerectomy is a procedure that is performed to reduce the pressure within the eye, which can help prevent vision loss. Many people experience symptoms that can indicate they may need a deep sclerectomy. Understanding these symptoms and seeking early treatment can help prevent vision loss and protect your eyesight.

Symptoms of glaucoma

Glaucoma is a common condition that can lead to a deep sclerectomy. The symptoms of glaucoma are often subtle, and many people do not experience any symptoms in the early stages of the condition. Some common symptoms of glaucoma include:

• Gradual loss of peripheral vision
• Sudden loss of vision in one eye
• Seeing halos around lights
• Intense eye pain or headache
• Nausea or vomiting
• Redness in your eye

If you are experiencing any of these symptoms, it is important to seek treatment as soon as possible. Early diagnosis and treatment can help prevent vision loss and protect your eyesight.

Other symptoms that can lead to a deep sclerectomy

In addition to the common symptoms of glaucoma, certain other symptoms can indicate that a deep sclerectomy may be necessary. These include:

• High eye pressure
• Chronic redness in your eye
• Chronic headaches or migraines
• Chronic eye pain
• Blurred vision
• Seeing flashes of light or floaters

Your specialist consultant at Circle Health Group can help determine if a deep sclerectomy is necessary and develop a treatment plan to protect your vision.

A deep sclerectomy is a medical procedure that is used to treat a range of eye conditions, but most commonly is used to treat glaucoma.

Glaucoma is when pressure builds up in your eye, causing damage to your optic nerve. A deep sclerectomy can effectively reduce the pressure within the eye, reducing the risk of further damage to the optic nerve. Additionally, this procedure can also help to slow down the progression of the condition, which can help to preserve vision in the long term.

Other eye conditions that can be treated with a deep sclerectomy include cataracts, macular degeneration, and retinal detachment.

When it comes to your eye health, the right diagnosis and treatment plan is essential. At Circle Health Group we understand this, which is why your first consultation with us is so important; it allows us to fully understand your eye health, symptoms, and concerns. This information will help us to determine the best course of action for you and provide you with a treatment plan tailored to your needs. Our goal is to provide you with the best care and support so that you can make an informed decision about your eye health.

Our specialist ophthalmology team will start by asking you about your symptoms and medical history. They will then examine your eyes and use special tests to evaluate your eye pressure, vision, and overall eye health. Based on these results, our consultants will be able to determine the underlying cause of your symptoms and make a diagnosis.

In some cases, further tests or scans may be needed to confirm a diagnosis or to gather more information about your eye health. Our consultants will advise you if this is the case, and if so, they will explain what the tests or scans involve and what you can expect.

Once we have gathered all the information we need, our team of specialist consultants will work together to determine the best treatment plan for you. They will take into account all relevant factors, including your overall health, medical history, and lifestyle, and discuss the different treatment options available to you.

How will you know if you need a deep sclerectomy?

If your consultant determines that a deep sclerectomy is the best course of action for you, they will explain why and answer any questions you may have about the procedure. They will also discuss the risks, benefits, and what you can expect during and after the procedure.

Your consultant's goal is to make sure you have all the information you need to make an informed decision about your eye health.

If you suspect you may need a deep sclerectomy, book your consultation today. Our team of specialist consultants will provide you with the expertise and support you need to make an informed decision about your eye health.

If you have been recommended for a deep sclerectomy procedure, your surgeon will provide you with pre-operative instructions to follow. It's important that you follow these instructions to ensure the best possible outcome. You may be asked to stop certain medications, fast before the procedure, or make other changes. Your surgeon will also advise you on any lifestyle changes that may help prepare you for the procedure.

Lifestyle changes that can help you be as fit as possible before surgery

Prior to your deep sclerectomy, it's a good idea to adopt a healthy lifestyle. This may include making changes to your diet, increasing your physical activity, and avoiding alcohol or other substances that may interfere with the healing process. Your surgeon may also recommend that you stop smoking to help improve your overall health and to encourage your recovery.

Do you need to get your home ready for your return?

To help ensure a smooth and speedy recovery after your deep sclerectomy, you may need to make some preparations at home. This may include arranging for someone to help you with household tasks and transportation for the first few weeks after the procedure. It's also a good idea to have all the supplies and equipment you'll need for your recovery, such as pain medication, ice packs, and a comfortable place to rest.

At Circle Health Group, our goal is to ensure that your deep sclerectomy experience is as smooth and stress-free as possible. We'll provide you with all the information and support you need to prepare for the procedure and make a full recovery. Contact us today to book your consultation and get started on your journey to better vision.

When you're considering a deep sclerectomy, you may wonder what exactly happens during the procedure. At Circle Health Group, we understand the importance of being well-informed and at ease before undergoing any medical treatment, and that's why we're here to guide you every step of the way.

Are there different types of deep sclerectomy?

Yes, there are different types of deep sclerectomy, including penetrating and non-penetrating deep sclerectomy. Your private consultant will be able to discuss the best option for you based on your individual needs and health.

How long does it typically take?

The length of time a deep sclerectomy takes can vary depending on the individual case, but the procedure typically takes anywhere from 30 minutes to 1 hour.

What anaesthetic is used?

During a deep sclerectomy, local anaesthesia or topical anaesthesia is typically used to numb the eye and surrounding area. Your private consultant ophthalmologist will discuss the best option for you based on your individual needs and health.

What actually happens during the procedure?

During the deep sclerectomy procedure, your private consultant will make a small incision in your eye to create a new drainage channel to relieve pressure caused by fluid buildup. The exact details of the procedure will likely be different for everyone, but your surgeon will let you know ahead of time exactly what to expect.

Recovering from a deep sclerectomy can be a different experience for everyone. However, here is an overview of what you can expect in terms of recovery timeline, hospital stay, driving and work restrictions, and when you can expect to feel back to normal.

What is the average recovery time?

We consider a deep sclerectomy procedure a minor surgery, and typically the recovery timeline is relatively short. Most people report feeling back to normal within a few weeks, although the specific timeline will depend on the individual and their unique circumstances.

How many nights will you spend in hospital?

Typically, a deep sclerectomy is performed as an outpatient procedure, so you will not need to spend any nights in the hospital. However, the length of your recovery will depend on the individual and the specific circumstances of their procedure.

Will I be able to drive home?

It is most likely that you won't be able to drive yourself home, so be sure to arrange for someone to take you home after the procedure. If you prefer, we can arrange a taxi for you.

How soon can I go back to work?

Again, this will depend on the individual and their specific circumstances. Some people may be able to return to work within a few days, while others may need to take a week or two off. Your doctor will be able to provide you with more specific information about when it is safe for you to return to work.

How soon can I drive?

Typically, people can start driving again within a few days of their deep sclerectomy procedure. However, it is important to listen to your doctor's instructions and not drive if you feel unwell or unsteady.

When will I be back to normal?

Most people report feeling back to normal within a few weeks of their deep sclerectomy operation. However, the specific timeline will depend on the individual and their unique circumstances. It is important to listen to your doctor's instructions and follow a healthy lifestyle to support a smooth and speedy recovery.

A deep sclerectomy procedure is generally considered safe, but as with any surgery, there are potential risks and complications. These can include, but are not limited to, bleeding, infection, increased pressure in the eye, and vision problems.

Risks specific to deep sclerectomy include leakage of fluid from the eye, formation of a cataract, and problems with the drainage device that was placed in the eye. These are in addition to the general risks of surgery such as bleeding and infection.

It's important to be informed about the potential risks and complications before undergoing a deep sclerectomy operation. That's why at Circle Health Group, our experienced consultants will take the time to explain everything to you and answer any questions you may have. With a complete understanding of the potential risks and complications, you can make an informed decision about whether deep sclerectomy is right for you.

If you have any questions or concerns, don't hesitate to reach out to our team of experienced consultants.

We answer some of your most commonly asked questions about deep sclerectomy.

Can you have a deep sclerectomy more than once?

There are rare cases where a person may need to have a second deep sclerectomy procedure, but it is generally considered a permanent solution for glaucoma.

How long to use chloramphenicol eye drops after deep sclerectomy

The length of time that you need to use chloramphenicol eye drops after a deep sclerectomy will depend on the specific recommendations of your doctor. Generally, these drops are used to help prevent infection and reduce inflammation in the eye after surgery. Your doctor will provide specific instructions regarding the frequency and duration of use.

How long does vision stabilise after a deep sclerectomy?

The timeline for vision stabilisation after a deep sclerectomy can vary depending on a number of factors such as the severity of the glaucoma, your age, and the presence of other health conditions. On average, it can take several weeks to several months for vision to stabilise after the procedure. Your doctor will provide you with a more specific timeline based on your individual case.

How much does it cost to have a deep sclerectomy?

The cost of a deep sclerectomy procedure can vary depending on several factors such as the location of the surgery, the experience of the surgeon, and the complexity of the case. In general, a deep sclerectomy is considered a relatively affordable treatment option for glaucoma. Your doctor or insurance provider can provide you with a more specific estimate based on your individual case. You can also give us a call and one of our advisors will arrange a personalised quote.

When you choose to go private with Circle Health Group, you can expect:

• Flexible appointment times and locations to fit your routine
• The freedom to choose which hospital and consultant suit your needs
• Personalised, consultant-led treatment plans tailored to your individual needs
• Comfortable and safe private facilities maintained by expert multidisciplinary teams
• Private ensuite rooms as standard and delicious healthy meals
• Affordable, fixed-price packages with aftercare included
• Flexible payment options to help you spread the cost of your care

If you would like to learn more about this procedure, book your appointment online or call a member of our team directly.

Content reviewed by Circle in-house team in February 2023. Next review due February 2026.

1. Deep Sclerectomy: Safety and Efficacy, NIH
2. Deep Sclerectomy, Karger
3. Deep sclerectomy for uveitic glaucoma: long-term outcomes, Nature
4. Deep Sclerectomy, Eye associates