What is the success rate of trabeculectomy?
The success rate concerning the IOP was 83% in standard trabeculectomy and 74% following trabeculectomy with intraoperative antimetabolites. The visual acuity showed stabilisation in 93% of cases following standard trabeculectomy and in 100% following trabeculectomy with intraoperative antimetabolites.
Why do trabeculectomy fail?
The main cause of a failed trabeculectomy is episcleral or subconjunctival fibrosis. When a trabeculectomy procedure fails and cannot be rescued, subsequent procedures include a second trabeculectomy, placement of an aqueous shunt, or a cyclodestructive procedure. CAN OCULAR COMPRESSION RESCUE A BLEB?
Can trabeculectomy cause blindness?
Bleeding inside of the eye: Bleeding inside the eye can occur as a result of trabeculectomy and low eye pressure. While very rare, this can cause loss of vision.
How safe is trabeculectomy?
While trabeculectomy is considered a safe and effective procedure, there are some risks involved. These include: postoperative infection. drooping eyelid.
Why is my vision blurry after glaucoma surgery?
Blurred Vision and Minor Discomfort It’s common for your vision to become blurred after the procedure. This may cause poor eyesight that can last a few days or up to 6 weeks. Yet, it is important to report any sudden loss of eyesight during this time. As this can be a sign of a complication from the surgery.
Is a trabeculectomy safe?
What can go wrong with glaucoma surgery?
Main body. Common retinal complications after glaucoma surgeries include choroidal detachment; ocular decompression retinopathy; haemorrhagic choroidal detachment; hypotony maculopathy; malignant glaucoma; vitreous haemorrhage; bleb endophthalmitis; retinal detachment.
Why is vision blurry after trabeculectomy?
For a few weeks, you may see your doctor several times a week to check how well fluid is draining out of your eye. Depending on the pressure in your eye, your doctor may cut the stitches around your bleb to change the flow of fluid. Your eyes may be blurry for up to 6 weeks after surgery.
What are the risks of post-operative complications of trabeculectomy?
However, thoughtful and successful management of post-operative complications can significantly reduce the risk of long-term harm to the patient. Hypotony is one of the most dreaded complications of trabeculectomy and is one of the major causes of permanent reduction in visual acuity after glaucoma surgery.
Can you perform a trabeculectomy on a person with a previous surgery?
If you’re considering performing a trabeculectomy on someone, when you examine him at the slit lamp, you have to ensure that the conjunctiva is appropriate. If he’s had a previous surgery, the conjunctiva may be retracted back or be scarred and immobile. This will make your surgery more difficult.
How to deal with a bleeding vessel after a trabeculectomy?
You can also go after the bleeding vessel with monopolar 23-ga. cautery, taking care not to go through the zonules. If a suprachoroidal hemorrhage occurs, this is a dire complication that shifts your focus from performing a good trabeculectomy to just trying to save the eye.
How can I avoid a trabeculectomy?
This plan might be to avoid the trabeculectomy and insert a tube shunt. Or, if it’s a patient who requires a trab because you wouldn’t be able to get low enough pressures with a tube, then you will have to do a fornix-based trab instead of a limbal-based one. Also, adjust your antimetabolite choice based on the patient.