All you need to know about surgical treatment for glaucoma

Written in association with: Professor Philip Bloom
Published:
Edited by: Conor Lynch

In this article here, Professor Philip Bloom, a highly revered consultant ophthalmologist, details what glaucoma is, and explains how the surgical procedure often performed to treat glaucoma is carried out.

What is glaucoma, and what are the symptoms?

Glaucoma is the name given to a group of diseases, all of which affect the optic nerve. There are often very few symptoms, which is why it is so important to get your eyes checked. The majority of patients won’t experience any symptoms until glaucoma is at a rather advanced stage. Occasionally, when the eye pressure is very high, patients with glaucoma may notice symptoms such as eye ache, blurred vision, and haloes around lights.

 

What treatments are available for glaucoma?

We start with a simple laser treatment, which avoids the need for eye drops. These treatments can be combined in patients who require this. If neither treatment is successful, there are various surgical procedures.

 

What advantages does MIGS have over other treatments?

MIGS stands for minimally invasive glaucoma surgery, and the advantages revolve around how minimally invasive it is. It is often performed at the same time as cataract surgery. In patients in whom we are not performing cataract surgery, the incision made is extremely small. The need for observation after this surgery is minimal.

 

What does the MIGS procedure entail?

The MIGS devices are inserted through the tiny cataract wound. Local anaesthetic is applied through drops. The operation is completely painless, and the vision recovers very quickly. The operation lasts roughly 20 minutes when performed at the same time as cataract surgery.

 

How successful is MIGS?

It is hugely successful. It is very effective and safe.

 

What is the recovery period like?

Recovery from MIGS is normally very swift. Sometimes, patients will experience blurred vision for only a day or two after the operation. The drops are typically applied four or five times a day for about a week after surgery.

 

To schedule an appointment with Professor Philip Bloom, you can head on over to his Top Doctors profile today.

By Professor Philip Bloom
Ophthalmology

Professor Philip Bloom is a renown ophthalmologist based in London, with over 35 years of experience. His wide range of expertise includes cataract surgery (specialising in spectacle independence), glaucoma surgery, laser treatment for glaucoma, minimally invasive glaucoma surgery, treatment of advanced glaucoma and patient-centred glaucoma care.
 
Professor Bloom first graduated with MB ChB from the University of Bristol in 1984. He then went on to receive an FRCS(Ed) from the Royal College of Surgeons of Edinburgh, and an FRCOphth from the Royal College of Ophthalmologists in 1990. He completed his postgraduate training at Bristol Eye Hospital, the Western Eye Hospital and Moorfields Eye Hospital.
 
Professor Bloom currently practices privately at the Platinum Medical Centre at the Wellington Hospital, the Hillingdon Hospital Consulting Rooms and the Bishops Wood Hospital. He is also a Consultant Ophthalmic Surgeon at the Western Eye Hospital, part of Imperial College Healthcare NHS Trust in London, where he was previously Clinical Director.
 
Professor Bloom is dedicated to medical research, with a significant focus on glaucoma and cataract surgery; his specific research interests include minimally invasive glaucoma surgery (including cyclophotocoagulation), neuroprotection, surgical simulation/training, and spectacle independence after cataract surgery. His research has resulted in well over 100 peer-reviewed research papers, articles in scientific journals, books and other academic materials.

In addition to his clinical work and research, Professor Bloom has extensive experience in medical education. He is an Honorary Senior Lecturer at Imperial College School of Medicine, Honorary Clinical Senior Lecturer at University College London (UCL) and Associate Professor at Plymouth University School of Medicine & Dentistry.

He has a high profile within his profession. He is the immediate past Chairman of the charity Glaucoma UK (2017-22, formerly IGA, the International Glaucoma Association) and past President of the UK & Ireland Society of Cataract & Refractive Surgeons (UKISCRS, 2018-20). He was a Trustee and Board Member of the Royal Society of Medicine (RSM, 2017-21), and past President of the RSM Ophthalmology Section (2012-14). He is currently a Keeler Scholarship Board Trustee (Royal College of Ophthalmologists), council member of the UKISCRS, course leader for Plymouth University’s Post-Graduate Diploma in Ophthalmology and a surgical tutor & microsurgical skills faculty member at the Royal College of Ophthalmologists.

In addition to his many qualifications, Professor Bloom's career has been recognised by numerous other significant achievements and markers of peer esteem. He received the Keeler Scholarship from the Royal College of Ophthalmologists (1994 -1995) and was awarded the Muthusamy Gold Medal by the Royal College of Surgeons (Edinburgh) in 1990. In April 2020 he was made a Fellow in Glaucoma Surgery (FGS) in the Founding FGS class of the International Society of Glaucoma Surgery (ISGS), only the second individual globally to do so at the 'Distinguished' level. In 2021 he was appointed Fellow of the American College of Surgeons.

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