Glaucoma is a group of eye diseases, identified by optic nerve damage due to increased intraocular pressure. Glaucoma should be treated on time otherwise it will lead to permanent vision loss. It is also referred to as silent thief go sight.

Though glaucoma has medications, monitoring is also necessary to control glaucoma. There are certain instances where surgery is needed. But perhaps the most important question for those considering glaucoma surgery is: is glaucoma surgery affordable?

In this blog, we will explore the glaucoma surgery cost, what influences such cost, and what a patient should expect in making plans to receive treatment.

There are Several Treatments for Glaucoma Management:

1. Trabeculectomy: In this procedure, a new channel is made for the fluid in the eye to drain out, thereby reducing intraocular pressure.
2. Shunt Tube Surgery: An implant is placed to facilitate the removal of fluid from the eye.
3. Laser Surgery: SLT (selective laser trabeculoplasty) and ALT (argon laser trabeculoplasty), are used to increase the fluid outflow.
4. Minimally Invasive Glaucoma Surgery (MIGS): The new class of surgeries used in reducing intraocular pressure with minimal damage and faster recovery.

The type of surgery recommended generally depends on the severity of glaucoma, the overall health of the patient, and the specific eye anatomy.

Cost of Glaucoma Treatment

The costs involved with glaucoma surgery can be different based on several factors. On average, patients can expect to pay between 30,000 to 1,20,000 for one eye.

However, this figure can be different based on the following factors affecting glaucoma surgery cost:

1. Cost comparison for glaucoma surgery: Once again, the price depends on what kind of procedure it is. More expensive procedures tended to be the classic types of surgery such as trabeculectomy and tube shunt surgeries. Laser surgeries or MIGS (minimally invasive glaucoma surgery) are cheaper. The more complex cases are more costly as they require secondary procedures, which makes the overall expenses higher.
2. Location and Facility: The cost will also be determined by the type of facility in which the operation is conducted and the geographical location. Surgery tends to be more costly in urban settings where the living conditions are costlier compared with rural areas. Further, in many circumstances, surgical centers tend to be less expensive than hospitals.
3. Surgeon’s Experience: The cost may also be determined by the experience and reputation of the surgeon. Great eye specialists may charge more because of their success levels. However, the quality of care should be balanced with the cost.
4. Insurance Coverage: Insurance is the key factor in determining the nature of out-of-pocket expenses. Most insurance companies cover surgery to treat glaucoma, but all are different in terms of percentages covered. It is a good idea to call ahead to your insurance provider to determine what is covered along with what your copays and deductibles might be and whether the surgeon and operating facility are in-network, or not.
5. Preoperative and Postoperative Care: In addition to the surgery itself, there are other costs associated with glaucoma surgery. These would include preoperative evaluations, including visual field tests and imaging studies, as well as postoperative visits and any needed medications. Those costs should be discussed during consultation.

Before Surgery Preparation

A patient must prepare before going under surgery for glaucoma surgery. The patient should consider the following:

1. Specialist Consultation: A proper consultation from a glaucoma specialist is essential. They will guide him on the best mode of surgery according to one’s condition and lifestyle.
2. Risk and Benefits Analysis: Every surgical procedure comes with risks. A patient should have a conversation with his or her doctor about possible complications and the likelihood of success to balance the gains with the potential risks.
3. Long-term Management: Surgery may be an appropriate treatment for glaucoma, but it typically combines with long-term management. Patients should also be ready for further follow-up and perhaps other treatments for glaucoma.
4. Emotional and Mental Preparedness: Eye surgery can be daunting. Therefore, patients should ensure they have a robust support system and feel at ease about discussing all matters with their healthcare provider.

Conclusion

Even though the cost of glaucoma surgery is very expensive, the fact that several factors affect the cost will make a huge difference for patients interested in having the surgery. This would involve further exploring what insurance coverage is available, payment options, and financial assistance that can make the process less burdensome. Ultimately, investing in one’s eye health is priceless. The ability to preserve one’s vision makes for a significant difference in quality of life. If you or a loved one has just been diagnosed with glaucoma, consult a healthcare professional about treatment options customized to your needs.

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Written and Verified by:

DR. PRATYUSH RANJAN

MBBS, DOMS, DNB & MAMS

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