Trabeculectomy in India: Cheap Cost With World-class Quality

Trabeculectomy in India is in high demand as in the US as 30% of its population is estimated to be overweight. The demand for cheap and efficient healthcare is drawing medical tourists from western countries to India for their surgeries. Desperate Americans, Canadians and British tourists lead the way for the growing medical tourism industry in India. Surgical procedures are charged at a mere fraction of the price for the same surgeries in the USA, making it much easier for uninsured families to manage expensive medical bills. In fact, Indian doctors are considered to be among the best in the world and their high level of surgical expertise evolves from many years of training – after studying here many doctors train and work in the UK. What’s more, healthcare facilities are the most cost-effective in the world with private hospitals offering treatment at a fraction of the price of those in the UK. Trabeculectomy brings patients from US and Europe to India.

Trabeculectomy is a surgical procedure used in the treatment of glaucoma to relieve intraocular pressure by removing part of the eye's trabecular meshwork and adjacent structures. It is the most common glaucoma surgery performed and allows drainage of aqueous humor from within the eye to underneath the conjunctiva where it is absorbed. This outpatient procedure is most commonly performed under monitored anesthesia care in a half awake state using a retrobulbar block or a combination of topical and subtenon (Tenon's capsule) anesthesia.

Procedure

An initial pocket is created under the conjunctiva and Tenon's capsule and the wound bed is treated for several seconds to minutes with mitomycin C (MMC, 0.5-0.2 mg/ml) or 5-fluorouracil (5-FU, 50 mg/ml) soaked sponges. These chemotherapeutics help to prevent failure of the filter bleb from scarring by inhibiting fibroblast proliferation. Some surgeons prefer "fornix-based" conjunctival incisions while others use "limbus-based" construction at the corneoscleral junction which may allow easier access in eyes with deep sulci. A partial thickness flap with its base at the corneoscleral junction is then made in the sclera after careful cauterization of the flap area, and a window opening is created under the flap which a Kelly-punch to remove a portion of the sclera, Schlemm's canal and the trabecular meshwork to enter the anterior chamber. Because of the fluid egress the iris will partially prolapse through the sclerostomy and is usually therefore grasped to perform an excision called iridectomy. This iridectomy will prevent future blockage of the sclerostomy. The scleral flap is then sutured loosely back in place with several sutures. The conjunctiva is closed in a watertight fashion at the end of the procedure.

It is obvious that medical tourism is heading in the right direction with all the attention the media has been giving to it lately.  India is hoping to expand its tourist industry - and every one appreciates the step. Medical tourism, where foreigners travel abroad in search of low cost, world-class medical treatment for trabeculectomy in India, is gaining popularity. Though the quality of health care for the poor in countries like India is undeniably low, private facilities offer advanced technology and procedures on par with hospitals in developed nations. One Indian hospital director maintains, "In a corporate hospital, once the door is closed you could be in a hospital in America. “There is no doubt that the Indian medical industry's main appeal is low-cost treatment. Most estimates claim treatment costs start at around a tenth of the price of comparable treatment in America or Britain.

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