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Revised April, 2024 – Resource, International Patient Center
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ABOUT GLAUCOMA IN TURKEY

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TO DESCRIBE GLAUCOMA ACCURATELY, IT’S ESSENTIAL FOR INDIVIDUALS AT RISK OR WITH A FAMILY HISTORY OF GLAUCOMA TO HAVE REGULAR EYE EXAMINATIONS TO DETECT AND MANAGE THE CONDITION EARLY ON. TREATMENT FOR GLAUCOMA CAN INCLUDE EYE DROPS, LASER THERAPY, OR SURGERY, DEPENDING ON THE TYPE AND SEVERITY OF THE CONDITION. IF LEFT UNTREATED, GLAUCOMA CAN LEAD TO VISION LOSS, SO EARLY DIAGNOSIS & PROPER MANAGEMENT ARE CRUCIAL IN PRESERVING VISION.
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For glaucoma surgery in Turkey eye hospitals apart from improving the person visions, there are several types of Glaucoma such as;

Glaucoma.
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Normal Tension Glaucoma – is considered as glaucoma, having eye pressure less than 21 mmHg (eye pressure is expressed in millimeters of mercury (mmHg). Some patients having normal tension or low tension glaucoma with pressure consistently being below 21 mmHg could still have loss of vision. Patients with normal tension glaucoma are treated in the same way as patients with open angle glaucoma.
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Angle Closure Glaucoma – happens when patients iris is very close to the drainage angle of the eye. When the drainage angle gets completely blocked, the eye pressure will rise very quickly (this is also called an acute attack). An ophthalmologist must be called immediately or blindness can occur. The symptoms of acute attack include.
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Vision is suddenly blurry.
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Severe eye pain.
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Having a headache.
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Feeling sick – nausea.
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Vomiting.
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Rainbow colored rings or halos around lights are seen

Patients at risk for developing closed angle glaucoma often have no symptoms before the attack;

Congenital Glaucoma – a rare type of glaucoma, which is developed in infants and younger children and can be inherited. The condition can result in blindness if not diagnosed and treated early.
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Secondary Glaucoma – a type of glaucoma, which occurs from another eye condition or disease.
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Glaucoma Suspect – patients with normal eye pressure but the optic nerve or visual field looks suspicious for glaucoma.

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GLAUCOMA PROCEDURE

Glaucoma surgery in Turkey is permanent disease. It can be prevented with medication or surgery although medication treatment has some side effects like;

stinging or itching sensation.
red eyes or red skin around the eye.
changes in the heartbeat.
changes in the energy level.
changes in breathing.
dry mouth.
blurred vision.
eyelash growth.
changes in the eye color and the skin around the eyes or eyelid appearance.

However, for the treatment of glaucoma, surgery is highly recommended. The surgery improves the flow of fluid out of the eye that results in lower eye pressure. There are several types of surgeries such as;

Laser Trabeculoplasty – done to treat open angle glaucoma. There are 2 types of trabeculoplasty, ALT (argon laser trabeculoplasty) and SLT (selective laser trabeculoplasty). In an ALT surgery, laser makes a tiny spaced burn in the trabecular meshwork. SLT uses a newer lower energy laser that only treats specific cells in the drainage angle. Even when the surgery is successful some patients are required to use glaucoma medications after the surgery. Laser trabeculoplasty can be used as first line of treatment for patients who cannot use glaucoma eye drops.

Laser Iridotomy – recommended for treating people with closed angle glaucoma and with very narrow drainage angles. The laser creates a small hole, in the size of pinhead, going through the iris to improve the flow of aqueous fluid to the drainage angle.

Peripheral Iridectomy – performed when laser iridotomy is unable to stop an acute closed angle glaucoma attack or when other reasons occur. A small piece of the iris is removed giving the aqueous fluid access to the drainage angle.

Trabeculectomy – a small flap is made in the sclera. Filtration bleb or reservoir is created under the conjunctiva. The aqueous humor can go through the flap made in the sclera and collect in the bleb where the fluid will be absorbed into the blood vessels around the eye.

Aqueous Shunt Surgery – in situations where trabeculectomy cannot be performed, aqueous shunt surgery is successful in lowering the eye pressure. An aqueous shunt is small plastic tube or valve connected to a reservoir. The plate is placed on the outside of the eye under the conjunctiva. Tube is placed into the eye through a little incision and allows aqueous humor to flow through the tube. Fluid is then absorbed into the blood vessels. Once healed the reservoir is not easily seen unless the patient looks upwards and the eyelid is lifted.

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SUITABLE PATIENTS FOR GLAUCOMA

Patients over the age of 18.

Patients at a good health condition and are healthy mentally and physically.

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BEFORE GLAUCOMA

Patients must take their usual blood pressure and heart medications and avoid diabetic medication, aspirin and any blood thinners.
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Do not use glaucoma medication on the eye to be operated.
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Patients must not wear any make up before the surgery.
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Patients must make sure they have someone to come with to the surgery and assist them back home.
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Patients must not eat or drink after midnight before the evening of the surgery.

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AFTER GLAUCOMA

Patients must not remove the eye patch unless told to.
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Patients are not allowed to read but can watch TV.
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Sunglasses can be worn in sunlight to avoid direct light.
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Eye shield must be worn at sleep for 4 to 6 weeks after the surgery.
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Strenuous sexual activity must be avoided for the first 4 to 6 weeks.

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RISK OF GLAUCOMA TREATMENTS

There is a slight possibility of risks to occur like in every surgery such as;

Blurred vision.
Bleeding in the eye.
Infection.
High pressure in the eye.

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DEFINITION OF GLAUCOMA

Incision – surgical cut made in the skin during surgery or treatment.

Conjunctiva – is inside the eye and covers the sclera.

Sclera – the white part of the eye.

Aqueous humor – fluid between the cornea and the crystalline lens.

Optic nerve – the paired nerve that transmits visual info from the retina to the brain.

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FIRST DAY

The patient will attend a consultation with the ophthalmologist and will be advised about the procedure and their condition. The patient will then be taken through a couple of tests that are required before the treatment. If desired, patients can spend the day to rest and attend the clinic the next day..

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SECOND DAY

The Glaucoma Surgery will be performed. The surgery will take around an hour to perform. The surgery will be done using an ALT and SLT device and also laser Iridotomy device and peripheral Iridotomy device will be used depending on the type of surgery performed. Once the surgery ends, an eye patch will be applied to protect the eye. Finally, once the patient is feeling better, they are able to return to their settlement with someone accompanying..

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THIRD DAY

Patients will attend a post surgery check up and consultation. If they are approved to be in a good, healthy condition and the surgery results were all successful; the patients are advised with post treatment care requirements and are ready to go back to their normal routine.
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HOSPITAL SERVICES TO HELP YOU BEFORE, DURING AND AFTER YOUR STAY
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For the best glaucoma medical packages in Turkey, our professional staff is dedicated to provide all your services including consultations, diagnostic services, billing and insurance, travel & lodging, language interpretation services and arrangements. All our Medical facilities are International standard and JCI Accredited to ensure the latest technology in the Top hospitals in Turkey are visited.
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Please see Turkey glaucoma costs at hospital eye clinic and other treatments.
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Medically Reviewed by Professor Doctor Alper Demirbaş

President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.

Awards:

Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.

Certificates:

Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.

Disclaimer:

Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.

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1. What is Glaucoma in Turkey?

Glaucoma is a disease that damages the eye’s optic nerve, which usually happens when fluid builds up in front of the eye that increases the pressure in the eye, damaging the optic nerve. In healthy eyes, clear fluid called Aqueous humor circulates inside the front of the eye.

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2. How is the Glaucoma Treatment done?

The treatment for glaucoma can be done with medication in Turkey or surgery. There are various types of surgery techniques like;

Laser trabeculoplasty.
Laser iridotomy.
Peripheral iridectomy.
Trabeculectomy.
Aqueous shunt surgery.

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3. How long does Glaucoma take?

The treatment lasts for around upto 60 minutes to perform.

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4. Are there any risks of Glaucoma?

Like every treatment there is a possibility of risks;

Blurred vision.
Bleeding in the eye.
Infection.
High pressure in the eye.
Droopy eyelid.

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5. Devices used in Glaucoma?

During Glaucoma eye surgery Laser Iridotomy device is used.

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6. How long do I need to stay in Turkey?

The veneers treatment is 2-3 day including consultation before and after the treatment is done in Istanbul or Antalya Turkey.
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FOR PATIENTS TO ARRIVE IN TURKEY, BEFORE WE ASK THEM TO SEND SOME PICTURES AND PERFORM GENERAL EVALUATION BASED ON THESE. WE DO NOT INVITE PATIENTS WHOSE AREA IS NOT SUFFICIENT OR THOSE FOR WHOM WE BELIEVE THAT THE PROCEDURE WILL NOT YIELD GOOD RESULTS. THEREFORE MOST PATIENTS WHO ARRIVE IN TURKEY KNOWS CONDITIONS AND LIMITS OF THE TREATMENT, WHICH ENSURES OF EXPECTATIONS TO BE MET.
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