When glaucoma has advanced to the later stages or is progressing rapidly, our highly trained eye surgeons at Wang Vision Institute commonly recommend a trabeculectomy. For this procedure, our ophthalmologists will create a tiny drainage hole into the wall of the eye, leaving a portion of the sclera (the white of the eye) intact. This area of the sclera left intact will sit above the small hole and act as a flap. From there, the built-up fluid in the eye will be able to flow out with greater ease. This, in turn, lowers the intraocular pressure present in the eye and decreases the patient's glaucoma symptoms.
At our premier Nashville, TN optical center, our experienced ophthalmologists, Drs. Josh Frenkel and Ming Wang, have the skills, tools, and techniques necessary to elevate your eye health and improve your vision. When nonsurgical solutions and MIGS are no longer an option to treat your glaucoma symptoms, we will work with you to develop a personalized trabeculectomy treatment plan.
Although a trabeculectomy tends to be the most frequently performed glaucoma procedure, this surgery is typically reserved for men and women who have received little or no improvement with other solutions, such as eye drops, medication, or MIGS. The majority of patients who receive a trabeculectomy are those who are in a more advanced stage of glaucoma or those whose condition is quickly progressing. The best candidates for this surgery are patients who are in overall good health, not currently taking anticoagulant medications, and those who have not benefited from other noninvasive or minimally invasive treatments.
"I have long been a fan of Dr. Wang, from whom I've received excellent care over the years. Recently I was treated by Dr. Zimmerman for a nonsurgical problem. He's terrific! He listened and then did a careful and thorough examination. He prescribed the perfect combination of medications and resolved a very troubling issue. Thanks for the great job Dr. Zimmerman!"- T.N. / Google / Nov 27, 2020
"I am 3 days post SMILE procedure by Dr. Frenkel and could not be more satisfied with my results thus far! Dr. Frenkel and his staff were so kind, encouraging, and verbally walked me through each step during my procedure so I knew exactly what I would feel regarding pressure. During my follow up today, Dr. Frenkel took the time to make sure any questions or concerns were answered and addressed in full. He truly has a passion for his patients and it shows in his work. Thank you Dr. Frenkel!!"- E. / Healthgrades / Nov 24, 2020
"5 days ago I had an amazing procedure done to my eyes. It's the latest and greatest for correcting nearsightedness called SMILE. Big thanks from Miranda Smith to Dr. Zimmerman and Dr. Frenkel!!!"- M.C. / Facebook / Nov 24, 2020
"The results of my surgeries were nothing short of a miracle. I had the 3D Forever Young performed on both my right and left eyes and cataracts removed by Dr. Frankel. I highly recommend him to anyone who is considering having these procedures. I owe him a debt of gratitude for restoring my sight. He is professional but personable. Read his credentials and other reviews and you will know why I chose him to perform these procedures. I also have to compliment his entire staff. Thank you all for what I anticipated being a scary experience to one I felt safe and confident about from the beginning. I have never been able to see so good."- Anonymous / RateMDs / Nov 23, 2020
"To start, the front desk staff welcome you with such a warm welcome each time! Dr. Frenkel performed my SMILE procedure. He and his staff were so encouraging throughout the procedure and made me feel completely comfortable and confident after. I feel like Dr. Frenkel and Dr. Johnson are truly passionate about their patients progress and providing 5 star care at baseline. I could not have asked for better results! Thank you Wang Vision Institute."- E.S. / Facebook / Nov 23, 2020
What to Expect
Wang Vision Institute in Nashville, TN is proud to feature a skilled team of eye surgeons with years' worth of experience in treating and managing a number of eye conditions, such as glaucoma. While we strive to treat glaucoma with nonsurgical or minimally invasive solutions (such as medication or MIGS), these options are not always available. For patients in a more advanced stage of glaucoma, we may perform a trabeculectomy.
To carry out your trabeculectomy, we will administer a local anesthetic to the eyes. Once your eyes are fully numb, Dr. Frenkel or Dr. Wang will place a device over the eyes, one at a time, to keep them still throughout the treatment. This device will temporarily block your vision as we work. Our team then uses fine, medical-grade tools to create a flap, as well as a small drainage hole. After your surgery has concluded, we will administer antibiotic eye drops or an injection. The treated eye or eyes will then be bandaged or taped closed. Some patients may be required to wear an eyepatch for a certain amount of time to ensure that the treated area stays safe and protected.
OTHER GLAUCOMA TREATMENTS
In addition to nonsurgical solutions, MIGS, and trabeculectomies, our Nashville, TN office also offers XEN Gel Stent implants as a treatment for glaucoma. This alternative tends to be reserved for patients in a more severe stage of the condition. XEN Gel Stent implants are designed to reduce pressure within the eyes of patients who have not benefited from other treatment options. The implant itself is incredibly small — about the size of an eyelash — that serves to increase drainage from the eye by creating a new pathway. Once the implant is placed just under the clear membrane that covers your eye (conjunctiva), the excess fluid will be able to drain with ease and allow your intraocular pressure to decrease over time.
A Clear Solution
If you're suffering from glaucoma and its effects and have not found relief with other treatments, such as medications or MIGS, get in touch with Wang Vision Institute and learn more about the trabeculectomy. At our premier Nashville, TN eye center, our highly qualified eye surgeons offer a range of procedures to reduce the pressure in your eyes and restore your eye health. Be sure to schedule your comprehensive eye examination at your earliest convenience.