What are the complications after trabeculectomy

summary

A few days ago, my eyes were not very good. As a result, I went to the examination and found that my eyes were suffering from inflammation. After listening to the doctor's words, I had a trabeculectomy. Now I'm worried about complications. Let's take a look at the complications after trabeculectomy.

What are the complications after trabeculectomy

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. This is the greatest advantage of trabeculectomy.

Second, the incision of bulbar conjunctiva should be 8-12mm behind the corneoscleral limbus. The bulbar conjunctival flap should be protected from perforation. The bleeding point on the surface of sclera should be stopped completely, but it should not be burned too heavily to avoid postoperative scar hyperplasia. Do not clamp the scleral flap with toothed forceps to avoid tearing.

Third, shallow anterior chamber is a kind of multiple complications of glaucoma after trabeculectomy, which is easy to cause corneal endothelial tissue damage, periiris tissue adhesion, angle occlusion, cataract deterioration and other adverse consequences. Malignant glaucoma is one of the most serious postoperative complications of glaucoma. Mydriasis and corticosteroids should be given immediately to control the inflammatory reaction, and hypertonic dehydration should be given to improve the plasma permeability, so as to reduce the vitreous volume and suprachoroidal effusion.

matters needing attention

We have a corresponding understanding of trabeculectomy and its complications. Trabeculectomy has corresponding complications, and the operation has certain risks. It is suggested that patients go to the hospital to consult the operation related situation, and communicate with doctors, so as to carry out trabeculectomy scientifically and effectively.