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Medical Forum / Diseases and Disorders / Glaucoma / June 2004Trabecu....laser surgery
Is it possible that there will be no change in my pressure after surgery? I've heard it will go down if sucessful, but that it might actually go up if not. But what about no change at all. Is no change usual? If there is going to be a drop, what % drop or minimum number drop should I see? I'm 51, my pressure is currently 17 - 18 and I've already lost 25 - 30% vision. It's always been in that range. So far the meds aren't working. I'm wondering what's the minimum drop I should see if it's successful. I have no data for you, just best wishes for a good outcome and long-term retention of your vision. Good luck -- Don Singleton > Is it possible that there will be no change in my pressure after > surgery? [quoted text clipped - 6 lines] > aren't working. I'm wondering what's the minimum drop I should see if > it's successful. > Is it possible that there will be no change in my pressure after > surgery? [quoted text clipped - 6 lines] > aren't working. I'm wondering what's the minimum drop I should see if > it's successful. It is possible there will be no change in your IOP, but that is quite unlikely. Initially most patients are lower. I can't give you an actual percentage as everyone is very different. Your IOP on post op day #1 can be as low as 1 or 2, or as high as 30. If your IOP is initially low, it will most likely go up by several points by the 3rd or 4th week postop when much of the healing occurs. If your pressure is high, it may be that the scleral flap is too tight or that too much gel was placed in the front of the eye with surgery. If that is the case, some of the gel will escape through the flap after a day or two and the IOP will come down. If the flap is too tight, sutures can be cut with a laser (or pulled out if your surgeon uses releasable sutures) to lower the IOP. If that doesn't work, your doc will simply start you back on glaucoma medications. No way to second guess how you will heal...everyone's different. Best of luck, Rick Cohn, MD Glaucoma Specialist Winter Park, FL |
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