How does recrudesce after trabeculectomy do

summary

For glaucoma patients, to quickly treat the disease, taking medicine and injection is far from enough, it can not be very good treatment of patients with disease, and sometimes eat too much will cause a lot of complications, let the patient unprepared. Let's talk about the recurrence after trabeculectomy.

How does recrudesce after trabeculectomy do

First, drugs and laser therapy can not prevent all kinds of glaucoma with progressive optic nerve injury and visual field defect. Due to the improvement of surgical techniques and the application of antimetabolic drugs, the intraocular pressure level after trabeculectomy can be similar to that after full-thickness scleral filtration, so now trabeculectomy can be applied to almost all glaucoma patients who need to undergo extraocular filtration. At the end of the operation, 20 000 units of gentamicin and 2 units of dexamethasone were injected under the bulbar conjunctiva. 5mg。 Antibiotic eye ointment and 1% atropine eye ointment were used.

Second: the second day after the operation, antibiotic eye drops were given 3-4 times a day for 1 month. 1% prednisolone, 4-6 times a day, for 2 months, then gradually reduced. 1% atropine eye drops or 0. 5% tropicamide eye drops, 2-3 times a day. According to the condition of the eyes, the dosage is gradually reduced, generally lasting for 2-3 weeks.

Third: for patients with filtering bleb failure factors, such as age less than 40 years old, intraocular lens or aphakia, congenital glaucoma, penetrating keratoplasty, and patients undergoing scleral cerclage, subconjunctival injection of fluorouracil can be given 1-2 days after surgery. The injection site should be on the opposite side of the filtering bleb, not near the filtering bleb. Generally, the injection is 5mg once a day for a week. Then every other day for a week.

matters needing attention

If we can not get better care after operation, it will cause a lot of complications. Patients after surgery should remember to follow the doctor's advice for postoperative care. Pay attention to the right amount of eye drops and reduce them at any time. Otherwise, it is easy to relapse and make the disease more serious.