The pages here, here ,
and here, describe
the operation, but there are important details to remember
- the operation creates a valve that leads fluid
out of your eye. If this valve blocks as part of the healling process,
anti-healing treatment to open the valve up is often needed. This will
help to stop closing again. The anti-healing treatment
often has to be repeated.
- nearly all patients need antihealing treatment.
- after the operation your sight may not be quite
as clear, and there are risks as described on the pages with links
above;
- the operation is just the first stage; for instance
- the first day after your operation, if the
pressure is very low, the steroid drops are stopped for a few days.
For instance, if the 'AC' is deep, and the pressure 0, stop drops
for 2 days (as an example).
- 1-2 weeks after the operation, if the pressure is >14mmHg, you
usually need the releasable suture releasing
- a pressure of 10-14 is ideal at this stage
(severe glaucoma needs a lower pressure)
- patients are often seen every week for a
while to ensure the presure stays at this required level
- in the days after the operation patients
with too much leak and a shallow anterior chamber may need further
surgery to seal the leak.
- after the operation, steroid drops, antibiotic drops, and drops to
dilate the pupil are often needed.
- always bring the drops with you to the clinic, as the dose will be
adjusted etc
- in the weeks after the operation, if the wound
becomes very red extra steroid drops may be needed (the redness is
a sign of an over-active healing process)
- if the pressure rises, anti-healing injections
will be offered
- you should not go on holiday abroad for 3 months after your operation
(advice changes depending on how severe the glaucoma is, etc)
- some ophthalmologists recommend no swimming after
the operation in the years after surgery, but others feel swimming
is safe once the eye has recovered after the operation (accepting there
is a very small risk of problems, but that the benefits outweigh the
risks)
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