Summary

Surgical options for dogs with advanced glaucoma when vision is already lost and medical therapy no longer controls pain. The primary goal of surgery is long‑term pain relief and improved quality of life. Three procedures are outlined. Enucleation involves complete removal of the eye and permanent closure of the eyelids; recovery is typically rapid and cosmetic results are usually good, with optional orbital implants available. Ciliary body ablation (CBA) uses an injection to destroy fluid‑producing tissue inside the eye, reducing pressure in most cases, though complications and long‑term medication needs are possible. Evisceration with an intrascleral implant is a cosmetic option where the eye contents are removed and replaced with a silicone prosthesis, allowing the eye to appear normal but non‑visual, and requiring ongoing care.