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Trabeculectomy Eye Surgery

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What Is Trabeculectomy ?

When glaucoma continues to progress despite the use of medication regimens and possibly laser treatments, a glaucoma filtration procedure (trabeculectomy) may be recommended. In general, a glaucoma filtration procedure is recommended when these other methods of glaucoma management have failed or have insufficiently controlled the progression of glaucoma…

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The Procedure

Once the decision is made to proceed with a glaucoma filtration procedure, the surgery is scheduled. The procedure is completed in the operating room, usually under local anesthesia. Some ophthalmologists will complete the procedure under topical (eye drop) anesthesia. On the day of surgery, one should expect to have several eye drop medications applied multiple times to the eye for approximately one hour prior to the procedure…

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Diagnosis/Preparation

The procedure is fully explained and any alternative methods to control intraocular pressure are discussed. Antiglaucoma drugs are prescribed before surgery. Added pressure on the eye caused from coughing or sneezing should be avoided. Several eye drops are applied immediately before surgery. The eye is sterilized, and the patient draped. A speculum is inserted to keep the eyelids apart during surgery…

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After Your Operation

In most cases, a patch and shield will be placed over your eye on the day of surgery. This is usually removed later that day or the day after surgery and eye drop medications are begun. Your surgeon will usually want to evaluate your eye on the day of surgery or on the first post-operative day. At that time, depending on pressure in the eye, your surgeon might elect to cut sutures on the flap of the filter to modulate the filtration process. This is often done with a laser while in the office…

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Alternatives

Physicians will first try to lower IOP with glaucoma medications. Several types of eye drops are effective for this use. Sometimes a patient must instill more than one eye drop, several times a day. Compliance is very important when using these eye drops; missed dosages will raise IOPs…

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