How to manage elevated intraocular pressure after glaucoma surgery
Apr 23, 2023
Source: Cainiu Health
Dr. Cui Xin
Introduction
Elevated intraocular pressure after glaucoma surgery can be managed through general treatment, medication, or surgical intervention. If the patient has poor overall health or a predisposition to scar formation, suboptimal or incomplete healing at the surgical site may lead to local blockage, hindering the outflow of aqueous humor and resulting in this condition. It is recommended that patients first observe appropriately, including looking into the distance periodically, to help alleviate symptoms.
Elevated intraocular pressure after glaucoma surgery can be managed through general treatment, medication, and surgical intervention. The specific approaches are as follows:
1. General Treatment
If a patient has poor physical health or a scar-prone constitution, suboptimal or incomplete wound healing after surgery may lead to local blockage, hindering the outflow of aqueous humor and resulting in elevated eye pressure. In such cases, patients are advised to closely monitor their condition, look into the distance periodically, and take measures to help alleviate symptoms.
2. Medication
Medication can help relieve elevated intraocular pressure following glaucoma surgery. Typically, under a doctor's guidance, patients may use topical medications such as miotics combined with beta-blockers and carbonic anhydrase inhibitors. Additionally, ophthalmic solutions like pranoprofen eye drops or brinzolamide eye drops may be used as directed by a physician to help reduce symptoms.
3. Surgical Treatment
When medication fails to control postoperative elevated intraocular pressure, further surgical intervention may be required. This often involves making incisions in the cornea to create additional fluid drainage pathways, thereby reducing intraocular pressure.
Regardless of the chosen treatment method, it is essential to follow medical advice and undergo regular eye examinations.
