{"key":"op_652_ES","page":{"url":"https://fr.bookimed.com/clinics/country=spain/procedure=trabeculotomy/","procedure":{"id":652,"slug":"trabeculotomy","name":"Trabéculotomie","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"ophthalmology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":34,"iso":"ES","name":"Espagne"},"currency":"USD","data_date":"2026-03-19"},"pages":{"clinics_url":"https://fr.bookimed.com/clinics/country=spain/procedure=trabeculotomy/","cost_url":"https://fr.bookimed.com/clinics/country=spain/procedure=trabeculotomy/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":5500,"to":8800,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":6500,"to":12500},"uk":{"from":4800,"to":7200},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Barcelone","from":5500},{"city":"Pampelune","from":3400},{"city":"Alicante","from":2300},{"city":"Madrid","from":2600}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":1200,"to":2000},{"country_iso":"FR","from":3200,"to":5400},{"country_iso":"GB","from":4800,"to":7200},{"country_iso":"US","from":6500,"to":12500},{"country_iso":"IL","from":5000,"to":6500},{"country_iso":"TR","from":2000,"to":3600},{"country_iso":"MX","from":2600,"to":3900},{"country_iso":"DE","from":3200,"to":5600},{"country_iso":"CA","from":3800,"to":6800},{"country_iso":"AE","from":3800,"to":6500},{"country_iso":"TH","from":2300,"to":4300},{"country_iso":"PL","from":1900,"to":3300},{"country_iso":"KR","from":2600,"to":4300},{"country_iso":"CZ","from":1600,"to":2900},{"country_iso":"AT","from":3300,"to":5300},{"country_iso":"IT","from":3200,"to":5400},{"country_iso":"CN","from":1600,"to":3200},{"country_iso":"AU","from":4800,"to":7200},{"country_iso":"IN","from":900,"to":1800},{"country_iso":"MY","from":1800,"to":3400},{"country_iso":"VN","from":1300,"to":2200},{"country_iso":"BR","from":2300,"to":4200},{"country_iso":"GR","from":1300,"to":3600},{"country_iso":"XK","from":1700,"to":2800}],"base_country":"US","base_is_fallback":false},"savings":{"pct":15,"variant":"ranges_overlap"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":3,"items":[{"id":78,"name":"Centro Médico Teknon","city":"Barcelona","rating":4.7,"reviews_count":497,"accreditations":["Joint Commission International","European Foundation for Quality Management","THE IMTJ MEDICAL TRAVEL AWARD WINNER IN 2019","Patient choice in Neurology","Patient choice in Neurosurgery","Patient choice for Epilepsy treatment","World's Best Hospitals 2021 by Newsweek"],"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":6225,"name":"Hospital Ruber Internacional","city":"Madrid","rating":5,"reviews_count":3,"accreditations":["Joint Commission International","International Organization for Standardization"],"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":339,"name":"Clinica Universidad de Navarra (Navarra Hospital)","city":"Pamplona","rating":4.7,"reviews_count":7,"accreditations":["Joint Commission International","European Society for Medical Oncology","World's Best Hospitals 2020 by Newsweek","World's Best Hospitals 2021 by Newsweek","World's Best Smart Hospitals 2021 by Newsweek","World's Best Hospitals 2022 by Newsweek","World's Best Smart Hospitals 2023 by Newsweek"],"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":3,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":98,"slug":"barcelona","name":"Barcelone","clinics_count":1,"price_from":5500,"profile":{"city_type":"Mediterranean coastal city in Spain","access":["Barcelona Airport (BCN), 15 km southwest of city center"],"sources":["https://en.wikipedia.org/wiki/Barcelona","https://en.wikipedia.org/wiki/Barcelona–El_Prat_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":366,"slug":"pamplona","name":"Pampelune","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":3400,"profile":{"status":"missing","reason":"not_collected"}},{"id":441,"slug":"alicante","name":"Alicante","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":2300,"profile":{"city_type":"Mediterranean port city in Spain","access":["Alicante Airport (ALC), 9 km from the city"],"sources":["https://en.wikipedia.org/wiki/Alicante","https://en.wikipedia.org/wiki/Alicante%E2%80%93Elche_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":346,"slug":"madrid","name":"Madrid","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":2600,"profile":{"city_type":"Capital and largest city of Spain","access":["Madrid Barajas Airport (MAD), 13 km from Puerta del Sol"],"sources":["https://en.wikipedia.org/wiki/Madrid","https://en.wikipedia.org/wiki/Madrid–Barajas_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Adult open-angle glaucoma uncontrolled or progressing despite maximal medication","Adult open-angle glaucoma with intolerance to glaucoma eye drops"],"contraindications":["Active eye infection or inflammation until controlled","Angle-closure glaucoma with extensive synechial closure (relative)","Neovascular glaucoma with active neovascularization (relative)","Unmanageable bleeding disorder or anticoagulation (relative)","Cannot lie still under local anesthesia (relative)"],"operation_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operating time for standalone ab externo trabeculotomy in one eye."},"anesthesia":["local"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation per eye."},"stages":[{"code":"trabeculotomy","label":"Trabeculotomy in one eye","after":{"min":0,"max":0,"unit":"days","qualifier":"At the initial procedure."}}],"qualifier":"Single-stage per eye; follow-up visits are not treatment sessions."},"hospital_nights":{"value":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day discharge after uncomplicated adult surgery."},"source":"parsed_details"},"treatment_conditions":["day_case"],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery of daily activities and vision after uncomplicated surgery."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After the day-1 and week-1 reviews show stable pressure and no significant hyphema; surgeon clearance required."},"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Desk-type work after uncomplicated standalone ab externo trabeculotomy in an adult; depends on vision and surgeon clearance."},"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous exercise, heavy lifting and swimming after surgeon clearance; light walking is allowed from the first days."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Pressure and vision stabilize; medications may be adjusted during this time."},"result_longevity":"Pressure control often lasts years but varies with glaucoma type, age and technique; lifelong monitoring is needed and later medications or surgery may be required.","main_risks":["Hyphema, usually transient","Transient high or low intraocular pressure","Inflammation and blurred vision","Failure to reach target pressure, needing medication or further surgery","Cataract progression","Choroidal detachment or shallow chamber (uncommon)","Infection or endophthalmitis (rare)"],"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Clinically significant early complications in adults, e.g., persistent hyphema, pressure spike, hypotony; mostly transient. Varies by technique and glaucoma type."},"revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat glaucoma surgery within about 5 years in adults; higher in advanced disease or after prior failed surgery."},"success":{"metric":"Intraocular pressure reduction of at least 20% or pressure within target, with or without medication","value":60,"horizon":"1-2 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"No visible external scar; a small conjunctival and scleral incision is usually inconspicuous.","pain":"Little pain during surgery; mild to moderate discomfort, foreign-body sensation and redness for a few days.","preparation":["Eye assessment: pressure, gonioscopy, optic nerve, visual fields","General health and medication review with the surgeon","Treatment of active eye infection or inflammation beforehand","Transport home and help after surgery","Facility fasting instructions"],"recovery_timeline":[{"phase":"Day 0-3","description":"Eye shielded; blurred vision, mild discomfort and redness; start prescribed drops. Light walking is allowed.","restrictions":["No rubbing or pressing the eye","Keep water and dirt away from the eye","No driving until vision cleared"]},{"phase":"Weeks 1-2","description":"Inflammation settles and vision improves; frequent drops continue.","restrictions":["Avoid heavy lifting and straining","Avoid dusty environments and eye makeup"]},{"phase":"Weeks 2-6","description":"Gradual return to normal activity; drops tapered and pressure monitored.","restrictions":["No swimming or contact sports until cleared"]}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":2,"unit":"days","qualifier":"Day-1 check of pressure, hyphema and anterior chamber."}},{"purpose":"assessment","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"Week-1 check of pressure, healing and drop regimen."}},{"purpose":"result_review","requirement":"routine","after":{"min":28,"max":90,"unit":"days","qualifier":"Pressure control and medication adjustment."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's experience and proficiency with the glaucoma procedure proposed, since selection should weigh it","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Ask how the proposed procedure fits the patient's disease severity and stability","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Ask about the risk of complications and the possibility of additional surgery","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer does not name the surgeon's experience with the glaucoma procedure proposed","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The offer recommends one procedure without an individual assessment of the patient","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The surgeon cannot explain how the proposed procedure fits the patient's disease severity and stability","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"The diagnosis rests only on an eye-pressure check, with no complete eye exam","scope":"treatment_type","source":{"url":"https://www.aao.org/eye-health/diseases/what-is-glaucoma","host":"aao.org","quote":"A glaucoma screening that only checks eye pressure is not enough to find glaucoma.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Worsening eye drainage","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chp.edu/our-services/ophthalmology/ophthalmology-patient-procedures/trabeculotomy","host":"chp.edu","quote":"Signs of infection, such as eye drainage that has gotten worse or has changed to green or yellow","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Worsening eye pain","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chp.edu/our-services/ophthalmology/ophthalmology-patient-procedures/trabeculotomy","host":"chp.edu","quote":"Pain that has gotten worse","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Persistent nausea and vomiting","urgency":"contact_clinic","general":true,"source":{"url":"https://www.chp.edu/our-services/ophthalmology/ophthalmology-patient-procedures/trabeculotomy","host":"chp.edu","quote":"Nausea and vomiting that won’t go away","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local"],"back_to_work_days":{"min":7,"max":21,"unit":"days","qualifier":"Desk-type work after uncomplicated standalone ab externo trabeculotomy in an adult; depends on vision and surgeon clearance."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Clinically significant early complications in adults, e.g., persistent hyphema, pressure spike, hypotony; mostly transient. Varies by technique and glaucoma type."},"contraindications":["Active eye infection or inflammation until controlled","Angle-closure glaucoma with extensive synechial closure (relative)","Neovascular glaucoma with active neovascularization (relative)","Unmanageable bleeding disorder or anticoagulation (relative)","Cannot lie still under local anesthesia (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day discharge after uncomplicated adult surgery."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous exercise, heavy lifting and swimming after surgeon clearance; light walking is allowed from the first days."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Pressure and vision stabilize; medications may be adjusted during this time."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After the day-1 and week-1 reviews show stable pressure and no significant hyphema; surgeon clearance required."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":2,"unit":"days","qualifier":"Day-1 check of pressure, hyphema and anterior chamber."}},{"purpose":"assessment","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"Week-1 check of pressure, healing and drop regimen."}},{"purpose":"result_review","requirement":"routine","after":{"min":28,"max":90,"unit":"days","qualifier":"Pressure control and medication adjustment."}}],"indications":["Adult open-angle glaucoma uncontrolled or progressing despite maximal medication","Adult open-angle glaucoma with intolerance to glaucoma eye drops"],"main_risks":["Hyphema, usually transient","Transient high or low intraocular pressure","Inflammation and blurred vision","Failure to reach target pressure, needing medication or further surgery","Cataract progression","Choroidal detachment or shallow chamber (uncommon)","Infection or endophthalmitis (rare)"],"pain":"Little pain during surgery; mild to moderate discomfort, foreign-body sensation and redness for a few days.","preparation":["Eye assessment: pressure, gonioscopy, optic nerve, visual fields","General health and medication review with the surgeon","Treatment of active eye infection or inflammation beforehand","Transport home and help after surgery","Facility fasting instructions"],"recovery_timeline":[{"phase":"Day 0-3","description":"Eye shielded; blurred vision, mild discomfort and redness; start prescribed drops. Light walking is allowed.","restrictions":["No rubbing or pressing the eye","Keep water and dirt away from the eye","No driving until vision cleared"]},{"phase":"Weeks 1-2","description":"Inflammation settles and vision improves; frequent drops continue.","restrictions":["Avoid heavy lifting and straining","Avoid dusty environments and eye makeup"]},{"phase":"Weeks 2-6","description":"Gradual return to normal activity; drops tapered and pressure monitored.","restrictions":["No swimming or contact sports until cleared"]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Ordinary functional recovery of daily activities and vision after uncomplicated surgery."},"result_longevity":"Pressure control often lasts years but varies with glaucoma type, age and technique; lifelong monitoring is needed and later medications or surgery may be required.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Repeat glaucoma surgery within about 5 years in adults; higher in advanced disease or after prior failed surgery."},"scars":"No visible external scar; a small conjunctival and scleral incision is usually inconspicuous.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation per eye."},"stages":[{"code":"trabeculotomy","label":"Trabeculotomy in one eye","after":{"min":0,"max":0,"unit":"days","qualifier":"At the initial procedure."}}],"qualifier":"Single-stage per eye; follow-up visits are not treatment sessions."},"success":{"metric":"Intraocular pressure reduction of at least 20% or pressure within target, with or without medication","value":60,"unit":"percent of eyes","horizon":"1-2 years","population":"Adults with open-angle glaucoma after standalone ab externo trabeculotomy","evidence_status":"limited"},"techniques":[{"name":"Ab externo trabeculotomy (probe through Schlemm's canal via scleral flap) under local anesthesia","suits_whom":"Selected adults with open-angle glaucoma; not for children.","recovery":"Same-day discharge; recovery about 1-3 weeks."},{"name":"Ab interno trabeculotomy (gonioscopic or device-assisted, e.g., Trabectome, GATT, KDB)","suits_whom":"Mild to moderate open-angle glaucoma, often combined with cataract surgery.","recovery":"Often faster visual recovery; early hyphema common."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operating time for standalone ab externo trabeculotomy in one eye."},"initial_assessment_documents":["Glaucoma diagnosis report with eye pressure history","Visual field test report","Optic nerve OCT scan","Gonioscopy report","Current glaucoma eye drops list","Previous eye surgery or laser reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery per eye; stay about 7-14 days until day-1 and week-1 reviews clear flying. Later reviews possible at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's experience and proficiency with the glaucoma procedure proposed, since selection should weigh it","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Ask how the proposed procedure fits the patient's disease severity and stability","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Ask about the risk of complications and the possibility of additional surgery","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer does not name the surgeon's experience with the glaucoma procedure proposed","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The offer recommends one procedure without an individual assessment of the patient","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The surgeon cannot explain how the proposed procedure fits the patient's disease severity and stability","scope":"treatment_type","source":{"url":"https://www.aao.org/education/clinical-statement/reporting-clinical-endpoints-in-studies-of-minimal","host":"aao.org","quote":"Selection of a glaucoma procedure must be tailored to the individual patient and should consider the surgeon’s experience and proﬁciency, the degree of IOP reduction needed based on severity and stability of disease, risk factors for complications, and the patient’s willingness to accept surgical risks and the potential need for additional surgery.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"The diagnosis rests only on an eye-pressure check, with no complete eye exam","scope":"treatment_type","source":{"url":"https://www.aao.org/eye-health/diseases/what-is-glaucoma","host":"aao.org","quote":"A glaucoma screening that only checks eye pressure is not enough to find glaucoma.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Worsening eye drainage","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chp.edu/our-services/ophthalmology/ophthalmology-patient-procedures/trabeculotomy","host":"chp.edu","quote":"Signs of infection, such as eye drainage that has gotten worse or has changed to green or yellow","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Worsening eye pain","urgency":"contact_clinic","general":false,"source":{"url":"https://www.chp.edu/our-services/ophthalmology/ophthalmology-patient-procedures/trabeculotomy","host":"chp.edu","quote":"Pain that has gotten worse","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Persistent nausea and vomiting","urgency":"contact_clinic","general":true,"source":{"url":"https://www.chp.edu/our-services/ophthalmology/ophthalmology-patient-procedures/trabeculotomy","host":"chp.edu","quote":"Nausea and vomiting that won’t go away","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your open-angle glaucoma can be managed with a daily medicine","name":"Glaucoma eye drops","source":{"url":"https://www.aao.org/eye-health/diseases/what-is-glaucoma","host":"aao.org","quote":"Used every day, these eye drops lower eye pressure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"Your open-angle glaucoma could be treated instead of or alongside medicines","name":"Laser trabeculoplasty","source":{"url":"https://www.aao.org/eye-health/diseases/what-is-glaucoma","host":"aao.org","quote":"This surgery is for people who have open-angle glaucoma and can be used instead of or in addition to medications.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":621}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"ab-externo-trabeculotomy","name":"Ab externo trabeculotomy (probe through Schlemm's canal via scleral flap) under local anesthesia","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"ab-interno-trabeculotomy","name":"Ab interno trabeculotomy (gonioscopic or device-assisted, e.g., Trabectome, GATT, KDB)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"techniques":[{"id":"ab-externo-trabeculotomy","name":"Ab externo trabeculotomy (probe through Schlemm's canal via scleral flap) under local anesthesia","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected adults with open-angle glaucoma; not for children.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Same-day discharge; recovery about 1-3 weeks."},{"id":"ab-interno-trabeculotomy","name":"Ab interno trabeculotomy (gonioscopic or device-assisted, e.g., Trabectome, GATT, KDB)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Mild to moderate open-angle glaucoma, often combined with cataract surgery.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Often faster visual recovery; early hyphema common."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your open-angle glaucoma can be managed with a daily medicine","name":"Glaucoma eye drops","source":{"url":"https://www.aao.org/eye-health/diseases/what-is-glaucoma","host":"aao.org","quote":"Used every day, these eye drops lower eye pressure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"Your open-angle glaucoma could be treated instead of or alongside medicines","name":"Laser trabeculoplasty","source":{"url":"https://www.aao.org/eye-health/diseases/what-is-glaucoma","host":"aao.org","quote":"This surgery is for people who have open-angle glaucoma and can be used instead of or in addition to medications.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":621}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["republic-of-kosovo","austria","germany","india","israel","italy","lithuania","republic-of-korea","switzerland","thailand","turkey","ukraine"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.7,"count":507,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>A trabeculotomy in Spain typically costs from _op_652_price_from_ to _op_652_price_to_. Total pricing depends on the surgical technique, the clinic tier, and the surgeon's specialized experience. In the US, similar procedures cost around _price_compare_US_average_ on average. Patients save around _price_percent_discount_% compared to the US. Inclusions generally cover pre-operative assessments, anesthesia, the micro-surgical procedure, and standard follow-up visits.</p>\n\n<ul>\n<li><strong>Laser trabeculoplasty:</strong> Often serves as a lower-cost alternative to invasive surgery for managing ocular pressure.</li>\n<li><strong>Combined cataract surgery:</strong> Typically increases costs by 20-30% when performed alongside a glaucoma procedure.</li>\n<li><strong>Premium intraocular lenses:</strong> May significantly increase the total budget if implanted during combined surgeries.</li>\n<li><strong>Location variation:</strong> Major medical hubs for eye care include Barcelona, Madrid, and Pamplona.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing a high-volume center like Centro Médico Teknon in Barcelona offers exceptional value. It is JCI-accredited and a top choice for international celebrities and professional athletes. Their ophthalmology department features world-renowned specialists like Dr. Jordi Mones. Highly experienced surgeons like Dr. Nabil Ragaei Kamel perform over 3,600 surgeries annually. This high volume often ensures refined techniques and predictable outcomes.</p>","faq":[{"q":"Is trabeculotomy effective, and what are its risks?","a":"<p>Trabeculotomy is a highly effective surgical procedure for lowering intraocular pressure, showing 60% to 80% success within 5 years. Performed by JCI-accredited specialists in Spain, this glaucoma surgery creates a drainage pathway to preserve vision when laser treatments or eye drops fail to manage ocular tension.</p> <ul> <li><strong>Primary goal:</strong> Lower eye pressure to 10-12 mmHg to prevent further optic nerve damage.</li> <li><strong>Common risks:</strong> Scarring at the drainage site is the leading cause of procedure failure.</li> <li><strong>Surgical complications:</strong> Potential risks include cataract acceleration, low pressure (hypotony), bleeding, and ocular infection.</li> <li><strong>Visual changes:</strong> Patients may experience temporary astigmatism or a permanent need for reading glasses.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish centers like Centro Médico Teknon integrate trabeculotomy into multidisciplinary eye care, often led by surgeons like Dr. Jordi Mones who trained at Harvard. Data shows a preference for this traditional approach over newer MIGS techniques when patients require more reliable, long-term pressure stabilization.</p> <p><strong>Patient Consensus:</strong> Many emphasize that surgical experience is vital for success, as the drainage area needs lifelong monitoring. Most agree that while recovery involves temporary dryness, the stable pressure achieved is worth the investment compared to daily medication.</p>"},{"q":"What if the surgery fails to control eye pressure?","a":"<p>If trabeculotomy fails to control eye pressure, surgeons typically address the localized scarring blocking fluid drainage. Spanish ophthalmologists may perform needle revisions to break down scar tissue, adjust sutures, or switch to alternative laser-based treatments or valve implants to restore proper ocular pressure.</p> <ul> <li><strong>Needling revision:</strong> Surgeons use fine needles to break scar tissue near the drainage site.</li> <li><strong>Suture adjustment:</strong> Releasing or adjusting tension on permanent sutures can increase fluid outflow.</li> <li><strong>Medication restart:</strong> Resuming specialized eye drops manages pressure while the surgical site matures.</li> <li><strong>Alternative surgery:</strong> Procedures like laser trabeculoplasty or tube shunts provide new drainage pathways.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish centers like Centro Médico Teknon or Quirónsalud Marbella often manage complex cases where standard trabeculotomy fails. Dr. Nabil Ragaei Kamel performs 3,600 annual surgeries, meaning high-volume experts can quickly pivot to advanced laser iridotomy or vitrectomy if pressure spikes occur during recovery.</p> <p><strong>Patient Consensus:</strong> Many patients find that scar tissue is a common hurdle, and eye massage or minor needle revisions are often expected follow-up steps. Monitoring for eye pain or sudden vision changes helps identify when a drainage site needs professional adjustment.</p>"},{"q":"How painful is the procedure and recovery?","a":"<p>Trabeculotomy in Spain is typically pain-free during the procedure due to sedation or general anesthesia. Patients generally experience a dull ache or gritty sensation rather than severe pain during the initial recovery. Full stabilization of eye pressure and healing usually requires 3 to 6 months.</p> <ul> <li><strong>Anesthesia protocol:</strong> Surgeons use sedation or general anesthesia to ensure complete comfort during surgery.</li> <li><strong>Immediate sensation:</strong> Dissolving stitches often cause a gritty, eyelash-in-the-eye feeling for several days.</li> <li><strong>Activity limits:</strong> Patients must rest for 2 weeks, avoiding driving and all strenuous physical activities.</li> <li><strong>Long-term recovery:</strong> Complete healing and stable intraocular pressure typically take 3 to 6 months post-surgery.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish clinics like Hospital Ruber Internacional and Centro Médico Teknon integrate Joint Commission International standards that focus heavily on postoperative monitoring. Data shows that specialists like Dr. Nabil Ragaei Kamel perform over 3,600 eye surgeries yearly. This high volume often leads to more standardized, predictable recovery protocols for international patients.</p> <p><strong>Patient Consensus:</strong> Patients often describe the feeling as a dull ache with occasional sharp sensations during the first few weeks. Common reports include light sensitivity and itching, which experts manage with specific prescribed drops.</p>"},{"q":"Where are the best clinics for glaucoma surgery in Spain?","a":"<p>The best clinics for glaucoma surgery in Spain include Centro Medico Teknon and Hospital Ruber Internacional, both holding Joint Commission International accreditation. These facilities utilize advanced techniques like trabeculotomy and laser iridotomy to manage intraocular pressure in modern, high-tech environments across Barcelona and Madrid.</p> <ul> <li><strong>Top surgical centers:</strong> Centro Medico Teknon and Clinica Universidad de Navarra are premier rated facilities.</li> <li><strong>Expert surgeons:</strong> Dr. Jordi Mones at Teknon holds a Ph.D. cum laude in surgery.</li> <li><strong>Specialized pediatric care:</strong> SJD Barcelona Children Hospital provides essential treatment for congenital glaucoma cases.</li> <li><strong>Advanced procedures:</strong> Specialists perform trabeculotomy, laser trabeculoplasty, and MIGS using state-of-the-art equipment.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many seek out Barraquer for its prestige, Centro Medico Teknon offers a unique advantage with Dr. Jordi Mones. His dual expertise in retinal surgery and glaucoma is rare. This combined knowledge is vital for patients whose glaucoma is complicated by other high-risk vision conditions.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that Barraquer Clinic remains the gold standard for complex cases. They also note that standard procedure fees rarely include travel or long-term follow-up care costs.</p>"}],"h2":[{"text":"Comment ça fonctionne","kind":"content"},{"text":"Quel est le Coût pour votre Trabéculotomie en Espagne ?","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Trabéculotomie en Espagne : 3 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de trabéculotomie en Espagne","kind":"content"},{"text":"Obtenez une évaluation médicale pour Trabéculotomie en Espagne : Choisissez le meilleur spécialiste dans le domaine","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Avis sur Bookimed : Découvrez l'Expérience des Patients","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"FAQ de trabéculotomie en Espagne","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}