Glaucoma / Ocular Hypertension

Ocular hypertension is the permanent or intermittent elevation of the pressure inside the eye above the normal range. It is not a disease in itself but it is a risk factor because it can lead to glaucoma and cause irreversible damage to vision. This type of hypertension is common and has no outward symptoms, so it is very important for it to be diagnosed. On the one hand, the patient must be checked regularly so that any sign of progression to glaucoma is detected immediately as at first it shows no symptoms but it can end by damaging vision irreversibly. On the other hand, according to current guidelines, some groups of patients with ocular hypertension should receive prophylactic treatment in order to prevent it from progressing to glaucoma.

Glaucoma is a complex disease of the optic nerve and some retinal layers and cells caused by an important, but not only, factor of risk, which is pressure inside the eye (intraocular pressure – “IOP”). It is so common that at present, despite huge advances made in its diagnosis and treatment, it is the leading cause of blindness in the developed world.

It is a disease that is often hidden and treacherous because it has no symptoms but, by the time a patient is aware that there is a problem, the irreversible loss of vision is very significant.

It is a chronic disease, sneaky and difficult to stop or slow down because treatments that work often stop working without prior symptoms or warning, and treatments that work for most patients tragically demonstrate that they do not help everyone.

Finally, treatment for glaucoma requires patients to be meticulous in following complex procedures that require the use of several different types of drops several times a day, which is why compliance is often poor.

So, while for a time there are no warning symptoms, this failure to comply with treatment can have very negative and irreversible consequences for the patient’s vision. Unlike cataracts, the surgical management of glaucoma is more complex and controversial and the operation entails higher risks.

Therefore performing this type of procedure requires the surgeon to have a high level of technical skill and it is critical to choose the best time for the operation. In the best of cases, surgery stops the progression of vision loss, but it does not return lost vision, as is the case in cataract surgery. It is therefore of little use if it is performed too late, while it may involve significant and unnecessary risks if performed too soon. So it is extremely important that everyone, especially the relatives of patients with glaucoma and other groups at risk, have regular checkups so that, as the case may be, glaucoma and ocular hypertension can be diagnosed as early as possible.

The subspecialty of glaucoma and ocular hypertension is our team’s main subspecialty. The director, Dr. Tsiplakos, has been focused on the field of Glaucoma / Ocular Hypertension since his days of training at Clínica Barraquer in Barcelona (1997-2001). He subsequently worked for several years as a surgeon at the Glaucoma Division of the Hospital de la Creu Roja de l’Hospitalet in Barcelona and at the Institut Català de la Retina (ICR), where he was responsible for large numbers of patients suffering from this disease and where, from 2001 on, he regularly performed all types of surgery for glaucoma. Since 2004, he has performed the same types of surgery in Girona at the Ophthalmology Unit of Clínica Quirúrgica Onyar. At present we are able to offer our patients the complete range of glaucoma diagnostic tests, medical monitoring and treatment, laser treatments (trabeculoplasty, etc.) and just about every available surgical technique and implants for the management of glaucoma:

In our quest to constantly strive to make ourselves better, we attend courses, conferences and pay learning visits to prestigious institutions to ensure continuous training of the highest standard. The Subspecialty Day meeting sponsored by the prestigious American Academy of Ophthalmology (AAO) in the U.S., of which Dr. Tsiplakos has been a member since 1997, is an annual not to be missed event.


Our team is at the leading edge of virtually every subspecialty in ophthalmology, including refractive surgery.

We offer the most current, state-of-the-art equipment to carry out quick, non-invasive, early detection of all eye diseases.


Oculoplastic surgery / Blepharoplasty

Oculoplastic surgery is the area of ophthalmology that focuses on the aesthetics and pathology of the eyelids, tear duct and eye socket (the cavity where the eye is housed). It encompasses a wide variety of surgical procedures that treat conditions of these structures, such as eyelid malpositions, blepharitis, loss of elasticity of the skin around […]

Retina / Macular Degeneration

Few medical specialties have undergone such a major transformation in the past few years as the ophthalmology subspecialty of Vitreoretinal Medicine, which has seen advances in both the diagnosis and treatment of diseases of the macula, the vital center of the retina and vision. Our specialists are constantly learning in order to keep up with […]

Pediatric Ophthalmology

Children’s ophthalmology, strabismus and even binocular vision disorders in adults constitute “another world” in the field of ophthalmology. There is near unanimous consensus among ophthalmologists that expert medical and paramedical staff (opticians, optometrists, etc.) as well as specific tests are required for the treatment of pediatric patients in order to provide them with the best […]

Cataracts / Anterior Segment

The anterior portion of the eye, i.e. the front part, which goes from the outermost layer, the transparent cornea, to the posterior of the crystalline lens and which would be the equivalent of a camera lens, is at the epicenter of a number of eye and vision conditions, among which the most common, by far, […]

Refractive Surgery

Refractive surgery is one of our team’s major subspecialities and it is the cornerstone of clinical activity at our center. Born of the passion for refractive surgery that was transmitted to the director of the clinic, Dr. Tsiplakos, from his very first years at the Ophthalmology Unit of Clínica Barraquer in Barcelona side to side […]

Glaucoma / Ocular Hypertension

Ocular hypertension is the permanent or intermittent elevation of the pressure inside the eye above the normal range. It is not a disease in itself but it is a risk factor because it can lead to glaucoma and cause irreversible damage to vision. This type of hypertension is common and has no outward symptoms, so […]

Emergency Ophthalmology

Since our early years in Girona, nearly 15 years ago, we have been a referral center for emergency ophthalmology and, at present, we are able to ensure treatment for any ophthalmologic emergency 24 hours a day, 365 days a year at Clínica Quirúrgica Onyar in Girona, our office in Gabinet de Diagnosi (located at Plaça […]

Other Subspecialties

In addition to the above specialties, we are able to offer the highest quality of care in all of the other ophthalmology subspecialities. We would especially like to highlight restorative and cosmetic eyelid surgery, dacryology (lacrimal gland and duct disorders), the subspecialty of uveitis-inflammatory disorders and eye and ocular adnexa infections and injuries, the subspecialty […]

VISIÓ GIRONA - Gabinet Mèdic de Diagnosi i Tractament

Dr. P. Tsiplakos Decavali

Plaça Josep Pla nº 11
17001 Girona
Tel. 972 20 48 82 / 972 20 10 84


Monday from 9:30 to 14pm
Tuesday, alternate Wednesdays and Fridays from 17 to 20: 30h

Telephone reception hours

Monday through Friday from 8 to 21h
Saturday from 9 to 13h



Dr. P. Tsiplakos Decavali

Heroïnes de Santa Barbara nº6
4a planta
17002 Girona
Tel. 972 20 74 03 / 972 64 70 80


Monday 17 to 20:30h
Tuesday and Friday from 9:30 to 14h


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Visió Girona | Dr. P. Tsiplakos Decavali