Whether to have glaucoma surgery is a joint decision
between you and your doctor. Talk with your doctor about the risks and benefits
of surgery for you. The following are some questions that you may have about
to this question depends on a number of things, including whether you have
been using medicines to treat your glaucoma. Other factors to consider in
making the decision will include whether the pressure in your eyes has remained
high and your vision has gotten worse despite treatment with medicine.
Discuss all the options for treating your glaucoma with your doctor. Get a
second opinion if you can.
Eye fatigue or eye strain is a common and annoying condition. The symptoms include tired, itching, and burning eyes.
Eye fatigue is rarely a serious condition. Common sense precautions at home, work, and outdoors may help prevent or reduce eye fatigue.
But sometimes eye fatigue is a sign of an underlying condition that may need medical treatment. If eye fatigue persists despite taking simple precautions, see your doctor. This is especially important if your eye fatigue is associated with heada...
Where you should go
for surgery depends on what type of surgery you need. Some procedures, such as
laser trabeculoplasty, can be done in the doctor's office or without being
admitted to the hospital. If you need conventional surgery, you will need the
procedure done in a hospital or walk-in (ambulatory) surgical center.
What type of surgery should I have?
It is not
unusual for some people to have both open- and closed-angle glaucoma, so they may need more than one kind of procedure.
Surgeries for glaucoma can be used to increase the drainage of fluid from
the eye, prevent closure of the drainage angle, or decrease the amount of fluid
produced by the eye. When treatment with medication fails to lower the pressure
in the eyes, trabeculectomy surgery may be offered. See the Surgery section of
What kinds of anesthetic are used?
Most laser treatments for glaucoma need anesthetic
that is applied to the eye (topical local anesthetic). For some surgeries, the
anesthetic may instead be injected behind or around the eyeball (retrobulbar or
peribulbar anesthesia). In many eye procedures done today, peribulbar
anesthesia is used more often than retrobulbar anesthesia. General anesthetic,
which puts you to sleep, is not often needed for eye surgery.
Injected anesthetics and general anesthetic can both have dangerous side
effects, although these side effects are rare. To prevent dangerous side
effects from anesthetics, topical local anesthetic is used whenever possible.
What are the risks of surgery?
The risks vary for
each type of surgery or laser treatment. See the Surgery Choices section of
Will I have pain after surgery?
procedures for glaucoma, there is only mild discomfort. Severe pain after
surgery for glaucoma may be a sign of complications.
Will I be able to stop using eyedrops for glaucoma after surgery?
Many people will need to continue using medicine for
glaucoma after successful surgery. But you may be able to cut down on the
number of drops or amount of medicines you use for glaucoma after
How long is the surgery good for?
Some types of
surgery, such as iridectomy, last for life. But if complications develop
or glaucoma gets worse, additional surgery or treatment may be needed.
Primary Medical Reviewer
Kathleen Romito, MD - Family Medicine
Specialist Medical Reviewer
Christopher J. Rudnisky - Ophthalmology
May 5, 2010
WebMD Medical Reference from Healthwise
May 05, 2010
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this