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Doctor insights on: Ocular Trabeculectomy

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Can you tell me about trabeculectomy for high ocular pressure using local anaesthetic?

Can you tell me about trabeculectomy for high ocular pressure using local anaesthetic?

Standard procedure: Trabeculectomy is a surgical procedure used to create an alternate drainage for the internal eye fluids when the pressure is too high. It is usually done under local anesthesia, is practically painless, and has a high degree of success. Your surgeon can give you the details of how he does this. ...Read more

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What to do if I have a trabeculectomy for high ocular pressure using local anaesthetic?

Please clarify the ?: Trabeculectomy surgery is commonly done under local anesthetic. Eye drops or a numbing injection will make you comfortable for the surgery. ...Read more

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What should I worry about after a trabeculectomy?

What should I worry about after a trabeculectomy?

Complications: Trabeculectomy is surgery to treat glaucoma by slowly releasing the pressure from inside the eye. It is my understanding that potential problems include too low eye pressure, discomfort at the site of the bleb (area of the trabulectomy, usually under the upper eyelid), infection, and cataract. Your eye surgeon can explain the relative risks of each. ...Read more

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Does a trabeculectomy procedure result in dry eyes?

Does a trabeculectomy procedure result in dry eyes?

Not usually: Most people who need trabeculectomy are at high risk for dry eye due their age. ...Read more

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What is trabeculectomy?

What is trabeculectomy?

Glaucoma treatment: This is a surgical creation of a drainage canal in the eye to release hopefully permanently elevated internal eye pressure (glaucoma) which threatens vision. It is done under local as an outpatient procedure with a high success rate in most cases by your ohthalmologist. ...Read more

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What to do if I had a procedure performed for glaucoma (trabeculectomy) in?

Continue follow-up: A trabeculectomy is used to improve your control of glaucoma. However, just because you've had the procedure does not mean that the pressure is truly controlled, or that your glaucoma is stable over time. You will need to continue to see your glaucoma doctor for regular pressure checks and glaucoma testing (visual fields, nerve fiber analyzer, etc)\ to ensure that your glaucoma is controlled. ...Read more

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Can you tell me what is and which is the price for an trabeculectomy surgery?

Can you tell me what is and which is the price for an trabeculectomy surgery?

Lower eye pressure: There's couple of types, but both are surgical treatments to lower your eye pressure. Cost is usually covered by your insurance. However, if your are self pay, then it can vary whether you have it done at a hospital or an ambulatory surgery center. They can range $4k-$10k if you are a cashing paying patient. ...Read more

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What can you tell me about trabeculectomy surgery for glaucoma?

What can you tell me about trabeculectomy surgery for glaucoma?

It is: effective surgical treatment that makes a new drainage pathway for intraocular fluid in the eye. ...Read more

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I was wondering what are the complications of vitreous aspiration before trabeculectomy?

I was wondering what are the complications of vitreous aspiration before trabeculectomy?

Vitreous aspiration: Typically is not before a trabeculectomy (or glaucoma filtering surgery). The only reason i suspect that the aspiration would need to be done would be to help bring down very high intraocular pressure. This would help make the glaucoma surgery less risky. ...Read more

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Is trabectome a new procedure for glaucoma and is it preferred over the trabeculectomy procedure?

Is trabectome a new procedure for glaucoma  and is it preferred over the  trabeculectomy procedure?

Relatively new: Yes newer, can visit website trabeculectomy is a gold standard procedure and usually indicated for more severe disease or when the pressure needs to be much lower. Trabectome can be combined with cataract surgery and reduces the pressure some but long term results still a little lacking. ...Read more

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My mother will have trabeculectomy in 2 weeks for glaucoma. What is success rate and how long would it likely keep the pressure down?

My mother will have trabeculectomy in 2 weeks for glaucoma.  What is success rate and how long would it likely keep the pressure down?

Overall good: Ultimately recovery will depend largely on the post-operative course, and how much your mother's eyes heal. Trabeculectomy is still considered the standard and most efficacious glaucoma surgery to manage eye pressure for those with glaucoma recalcitrant to medical and laser treatment. ...Read more

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I've heard canaloplasty is safer & produces better results than trabeculectomy in a skilled surgeon's hands. Please give me your opinion?

I've heard canaloplasty is safer & produces better results than trabeculectomy in a skilled surgeon's hands. Please give me your opinion?

Possibly: Trabeculectomy is the "gold" standard for lowering eye pressure by surgery. Canaloplasty is somewhat gentler with probably fewer complications however it is in fact not as effective but is useful for those with a need for glaucoma surgery but do not have galloping glaucoma. ...Read more

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Trabeculectomy in both eyes. is it safe to use Optrez Optimist 2 in 1 for dry eye?

Trabeculectomy in both eyes. is it safe to use Optrez Optimist 2 in 1 for dry eye?

Yes it is safe: These lubricants will not conflict with or alter the effect of the trabeculectomy. ...Read more

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Following the trabeculectomy surgery my eye's pressure is stable. Are there other laser correction options i might use, what to do?

Following the trabeculectomy surgery my eye's pressure is stable. Are there other laser correction options i might use, what to do?

Confusing question: Are you asking about laser corrections for your current eye glasses prescription like LASIK? Or are you refering to laser corrections to further reduce your eye pressure. Go ahead and submit another question with more specifics. ...Read more

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Mother's glaucoma is treatment resistant with drops & laser. Dr will do trabeculectomy. Will she also be more resistant to surgery than average person?

Mother's glaucoma is treatment resistant with drops & laser. Dr will do trabeculectomy. Will she also be more resistant to surgery than average person?

Possibly: There are studies that show reduced success rates with trabeculectomy in patients who have been chronically treated with glaucoma meds. However, practically speaking, trabeculectomy with anti fibrosis agents produces quite successful iop reduction. Hopefully this will stabilize your mothers visual field loss. Should this procedure fail, aqueous drainage devices may provide an alternative approach. ...Read more

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My mother needs eye pressure reduced to 14. Can a trabeculectomy.Accomplish that?

My mother needs eye pressure reduced to 14. Can a trabeculectomy.Accomplish that?

Yes: A trab is potentially a very power procedure. It can bring a pressure to less than 10 on no glaucoma medications. If you mother has already failed topical and laser treatment options, then a trab is a reasonable next step. ...Read more

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Im a glaucoma patient and had a trabeculectomy done. Could i still get eye corrective surgery like lasik?

Im a glaucoma patient and had a trabeculectomy done. Could i still get eye corrective surgery like lasik?

Theoretically, yes: But having had that type of surgery increases your risk of infection and some other complications and makes you less than an ideal candidate. Nevertheless, it's a good idea to have the eye examined by an experienced lasik surgeon. Your particular situation may be more or less amenable to lasik. ...Read more

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I had a short course of Diamox (acetazolamide) for very high eye pressure post trabeculectomy and got such severe weakness and exhaustion that one week later im still housebound is this an allergic reaction ?

I had a short course of Diamox (acetazolamide) for very high eye pressure post trabeculectomy and got such severe weakness and exhaustion that one week later im still housebound is this an allergic reaction ?

Diamox (acetazolamide) side effect: Diamox (acetazolamide) can cause metabolic acidosis as well as hematologic complication affecting blood cells in your body. It can also induce immunolgic reaction causing rash and allergy reaction. You should consult your family doctor to discuss potential side effects from the medication. Your doctor may request further blood tests to confirm these adverse reactions. ...Read more