After Glaucoma Surgery

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1 2011 After Glaucoma Surgery Eye Care Centre Please bring this booklet to the hospital with you on the day of your operation.

2 After Glaucoma Surgery What is in this booklet? How is the surgery done?... 3 At home... 4 Using eye drops... 7 Becoming more active... 8 Symptoms to report to your eye surgeon

3 Trabecular Meshwork Optic Nerve Lens Pupil Iris Pupil Iris 2

4 How is the surgery done? You will need surgery to treat your glaucoma when the pressure inside the eye remains too high for your eye despite the use of drops and/ or laser treatments. Your surgery will be done as an out-patient. This means that you go home on the day of your surgery. During the first 3-4 weeks after surgery, you may have several follow-up checks with your eye surgeon. Trabeculectomy A small section of the trabecular meshwork (drainage system) is removed. This allows the fluid to drain and lowers the pressure in the eye. A small flap is made during surgery that helps to control the amount of fluid draining from inside the eye. The flap is held in place with stitches. Your eye pressure will be checked at least once a day. Stitches can be released with a laser to help increase the drainage of fluid. Medications may be used during or after surgery to prevent scar tissue from forming and blocking the new drain. Your doctor will let you know if this is needed. 3

5 Shunt Procedure A tiny tube is placed into the eye. It becomes a new drain for the fluid. The fluid is then absorbed back into the blood stream. Your eye will be checked often after surgery. After Surgery If you are comfortable, you may be able to go home in about 30 minutes. At Home You may feel some discomfort when the freezing wears off. Do not be alarmed take acetaminophen (Tylenol ) for pain. You may or may not have a patch on your eye. If you do, leave it on until you see your eye surgeon or are instructed other wise. Your appointment with your surgeon is on at. Take the metal eye shield home with you. 4

6 Wear an eye shield at night until your doctor says it is no longer needed. Your doctor will prescribe new drops for the operated eye. You will be instructed about using your glaucoma drops for that eye. You should continue to use your old drops in the other eye, unless your doctor tells you otherwise. You may watch TV and read. Immediately after surgery, there may be some redness and swelling of your eye. Continue to take any medications prescribed by other doctors. Try not to become constipated. Ask your eye surgeon when you may return to work or drive a car. Wear your glasses or sunglasses. Blow your nose gently. You may take a bath or shower. Keep your eye dry. Do not get any soapy water or shampoo in your eye. 5

7 Slowly resume your normal activities as your doctor suggests. Keep follow-up visits with your eye surgeon. Bring your medications and eye drops with you to these visits. Another person may wash your hair during the first week keep your head back. Do not Do not bend your head below the waist. Do not rub or touch your eye (you may wash gently around it). You may use a tissue to wipe tears off your cheek. Do not push, pull or lift anything heavier than 5-10 pounds. If you wish to hold a child, sit in a chair and have him/her climb onto your lap. Do not resume contact sports until your doctor allows it. Do not wear a cotton eye pad at anytime. Do not hold a sneeze allow it out through your mouth. 6

8 Do not engage in any strenous exercise or activity until your doctor says it is OK. Using Eye Drops Follow the eye medication schedule given to you by your nurse or doctor. Wash your hands well. Shake the bottle well. Tilt your head back. You may sit or lie down. Open both eyes and look up. With one finger, draw the lower lid down. With the bottle in the other hand, hold it as near as possible to the eyelid without touching it. Place one drop into the pocket 7

9 made when the lower lid is pulled down. Do not touch the eyelid or eye with the tip of the bottle. Close the eye gently and keep closed for one full minute. With a tissue, gently remove excess drops from the cheek. Wash your hands well. Once you have read this booklet many of your questions will be answered. Your doctor and nurse are willing to help you. Do not be afraid to ask. Report these symptoms to your eye surgeon right away: severe pain increased swelling or redness unusual discharge sudden decrease in vision 8

10 If you are unable to contact your eye surgeon, call locating at the VG ( ) and ask to have the ophthalmology resident on call paged or you may go to the nearest Emergency Department. 9

11 Notes 10

12 Notes 11

13 Notes 12

14 Looking for more health information? Contact your local public library for books, videos, magazine articles and online health information. For a list of public libraries in Nova Scotia go to Capital Health promotes a smoke-free and scent-free environment. Please do not use perfumed products. Thank you! Capital Health, Nova Scotia Prepared by: Eye Care Centre, QEII, Halifax Illustrations by: Pages 2 & 7-Parlay International; Page 9-LifeART Health Care 1 Images, Copyright 1994, TechPool Studios Corp. USA Designed and Printed by: Capital Health Audio Visual and Printing Departments WW Rev. April 2011 The information in this pamphlet is to be updated every 3 years.

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